Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.22 / $0.22	Facility		$0.12	$0.22	$0.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.15	Professional		$0.12	$0.12	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $6.73	Professional		$0.12	$0.13	$6.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $2.15 / $2.75	Facility		$1.67	$2.15	$2.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.88 / $3.87	Professional		$1.70	$1.88	$3.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $1.05 / $1.62	Facility		$0.13	$1.05	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.40 / $3.79	Professional		$0.13	$0.40	$3.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $1.99	Facility		$0.12	$0.12	$1.99
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 $0.10 / $0.12 / $2.35	Facility		$0.10	$0.12	$2.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $61.16	Professional		$0.10	$0.10	$61.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $58.40 / $85.00	Professional		$0.04	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $2.23	Facility		$0.12	$0.12	$2.23
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 $3.07 / $4.53 / $6.81	Professional		$3.07	$4.53	$6.81
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 $0.13 / $0.13 / $61.16	Professional		$0.13	$0.13	$61.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Professional		$0.14	$0.14	$0.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $3.82	Professional		$0.14	$0.14	$3.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.16	Professional		$0.13	$0.13	$0.16