Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $8.69	Facility		$0.02	$0.06	$8.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.28 / $1.12	Professional		$0.02	$0.28	$1.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.36 / $0.46	Facility		$0.28	$0.36	$0.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.32 / $0.66	Professional		$0.28	$0.32	$0.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.05 / $1.62	Facility		$0.02	$1.05	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.40 / $0.63	Professional		$0.02	$0.40	$0.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.33	Facility		$0.02	$0.02	$0.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.81	Facility		$0.02	$0.02	$0.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $34.13	Professional		$0.02	$0.02	$34.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $58.40 / $85.00	Professional		$0.07	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.33	Facility		$0.02	$0.02	$0.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.75 / $1.13	Professional		$0.45	$0.75	$1.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $34.13	Professional		$0.02	$0.03	$34.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.39 / $0.42	Professional		$0.30	$0.39	$0.42
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03