Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $8.51	Facility		$5.13	$5.13	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.79 / $5.75	Professional		$4.27	$4.79	$5.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.03 / $10.72	Facility		$4.47	$6.03	$10.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $15.85 / $25.12	Facility		$3.02	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $7.08 / $9.55	Professional		$2.57	$7.08	$9.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.17 / $7.24	Facility		$2.45	$4.17	$7.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.59 / $9.33	Professional		$4.57	$7.59	$9.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.01 / $79.43	Facility		$2.88	$5.01	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.63 / $5.75	Professional		$2.14	$2.63	$5.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $33.11 / $70.79	Professional		$2.82	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.59 / $13.80	Professional		$5.13	$7.59	$13.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.23 / $79.43	Facility		$3.02	$10.23	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.50 / $25.12	Professional		$2.57	$5.50	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.14 / $3.16	Facility		$1.95	$2.14	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.51 / $4.07	Professional		$1.66	$2.51	$4.07