Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.09 / $0.13	Facility		$0.05	$0.09	$0.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.13	Professional		$0.05	$0.05	$0.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Facility		$0.06	$0.06	$0.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.08	Facility		$0.07	$0.07	$0.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.09 / $0.13	Facility		$0.05	$0.09	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.08 / $0.09	Professional		$0.04	$0.08	$0.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.71	Facility		$0.05	$0.06	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.10	Professional		$0.09	$0.10	$0.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.71	Facility		$0.06	$0.06	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.10	Professional		$0.06	$0.06	$0.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $65.00 / $85.00	Professional		$0.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.71	Facility		$0.05	$0.06	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.10	Professional		$0.09	$0.10	$0.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $1.00	Professional		$0.05	$0.08	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.08	Professional		$0.05	$0.05	$0.08