Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.20 / $727.84	Facility		$0.09	$0.20	$727.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $79.30	Professional		$0.08	$0.09	$79.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.12 / $0.14	Facility		$0.08	$0.12	$0.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.16	Professional		$0.08	$0.09	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.11 / $0.20	Facility		$0.08	$0.11	$0.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.08 / $0.14	Professional		$0.04	$0.08	$0.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $1.59	Facility		$0.08	$0.09	$1.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $6.68	Professional		$0.14	$0.16	$6.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $1.59	Facility		$0.09	$0.09	$1.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $774.41	Professional		$0.09	$0.12	$774.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $1.59	Facility		$0.08	$0.09	$1.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $6.68	Professional		$0.14	$0.16	$6.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.16 / $1.00	Professional		$0.08	$0.16	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $100.00	Facility		$0.08	$0.08	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.37 / $774.41	Professional		$0.08	$0.37	$774.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.28	Professional		$0.11	$0.11	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $2.67	Professional		$0.08	$0.08	$2.67