Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.87 / $3.89	Facility		$0.52	$0.87	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.26 / $2.40	Professional		$0.09	$0.26	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.09	Professional		$0.07	$0.07	$0.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Facility		$0.11	$0.11	$0.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.18 / $0.27	Facility		$0.07	$0.18	$0.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.12 / $0.14	Professional		$0.08	$0.12	$0.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.33	Facility		$0.08	$0.08	$0.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.16 / $0.16	Professional		$0.12	$0.16	$0.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $1.95 / $100.00	Facility		$0.08	$1.95	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.17	Professional		$0.08	$0.08	$0.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $58.88 / $89.13	Professional		$0.07	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.91	Professional		$0.07	$0.08	$0.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $85.11 / $100.00	Facility		$0.07	$85.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.08 / $0.08	Facility		$0.03	$0.08	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.11	Professional		$0.06	$0.07	$0.11