Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.94	Professional		$3.98	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $16.60	Facility		$10.00	$10.00	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.33 / $11.22	Professional		$8.51	$9.33	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.75 / $20.89	Facility		$8.71	$11.75	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $30.20 / $48.98	Facility		$5.89	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.13 / $19.05	Professional		$5.01	$14.13	$19.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $8.13 / $11.75	Facility		$3.80	$8.13	$11.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $16.22	Professional		$8.91	$13.80	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.77 / $79.43	Facility		$5.50	$9.77	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $11.22	Professional		$4.17	$5.25	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $33.11 / $70.79	Professional		$4.68	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.30	Professional		$10.00	$15.14	$26.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $19.95 / $79.43	Facility		$5.89	$19.95	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $48.98	Professional		$5.01	$10.72	$48.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.37 / $6.17	Facility		$3.55	$4.37	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.90 / $8.32	Professional		$3.24	$4.90	$8.32