Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.14 / $0.20	Facility		$0.09	$0.14	$0.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.11 / $0.92	Professional		$0.08	$0.11	$0.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.13	Professional		$0.09	$0.09	$0.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.13 / $0.14	Facility		$0.12	$0.13	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.18 / $0.26	Facility		$0.09	$0.18	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.09	Professional		$0.07	$0.08	$0.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.71	Facility		$0.09	$0.09	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $0.18	Professional		$0.14	$0.18	$0.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.14 / $100.00	Facility		$0.09	$0.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.18	Professional		$0.09	$0.09	$0.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $65.00 / $90.00	Professional		$0.09	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.71	Facility		$0.09	$0.09	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $0.18	Professional		$0.14	$0.18	$0.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $1.08	Professional		$0.09	$0.10	$1.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $85.00 / $100.00	Facility		$1.60	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $1.29	Professional		$0.09	$0.09	$1.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.13 / $0.13	Professional		$0.08	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.14	Professional		$0.09	$0.09	$0.14