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 $2.57 / $2.57 / $4.27	Facility		$2.57	$2.57	$4.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.40 / $2.88	Professional		$2.14	$2.40	$2.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.57 / $5.37	Facility		$2.14	$2.57	$5.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $8.51 / $13.49	Facility		$1.51	$8.51	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $3.72 / $4.90	Professional		$1.29	$3.72	$4.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.14 / $3.72	Facility		$1.23	$2.14	$3.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.07 / $5.13	Professional		$2.14	$4.07	$5.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.51 / $79.43	Facility		$1.41	$2.51	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.45 / $2.95	Professional		$1.07	$1.45	$2.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $33.11 / $70.79	Professional		$1.55	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $6.31	Professional		$2.57	$3.89	$6.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $5.13 / $79.43	Facility		$1.51	$5.13	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $2.75 / $12.59	Professional		$1.29	$2.75	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
United Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $1.15 / $1.62	Facility		$0.91	$1.15	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.26 / $2.24	Professional		$0.83	$1.26	$2.24