Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.25	Facility		$0.15	$0.15	$0.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.17	Professional		$0.12	$0.14	$0.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $1.05 / $1.70	Facility		$0.09	$1.05	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.28 / $0.47	Professional		$0.08	$0.28	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.13 / $0.23	Facility		$0.08	$0.13	$0.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.35 / $0.42	Professional		$0.13	$0.35	$0.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.15 / $79.43	Facility		$0.09	$0.15	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.17	Professional		$0.07	$0.08	$0.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.37 / $1.05	Professional		$0.15	$0.37	$1.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.30 / $79.43	Facility		$0.09	$0.30	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.17 / $3.72	Professional		$0.08	$0.17	$3.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.07 / $0.10	Facility		$0.06	$0.07	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.13	Professional		$0.05	$0.08	$0.13