Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $4.79	Facility		$2.88	$2.88	$4.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.02	Professional		$2.69	$2.69	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.51 / $13.49	Facility		$7.24	$8.51	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $4.27 / $5.37	Professional		$1.45	$4.27	$5.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.04 / $2.95	Facility		$1.58	$2.04	$2.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.01 / $6.31	Professional		$2.57	$5.01	$6.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.19 / $5.75	Facility		$1.58	$2.19	$5.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.41 / $14.13	Professional		$1.20	$1.41	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $33.11 / $70.79	Professional		$1.00	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.27 / $7.41	Professional		$2.88	$4.27	$7.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $79.43	Facility		$5.75	$5.75	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $4.27 / $14.13	Professional		$1.45	$4.27	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.41 / $2.29	Professional		$0.93	$1.41	$2.29