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 $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $6.31	Facility		$3.89	$3.89	$6.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.63 / $4.27	Professional		$3.31	$3.63	$4.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.57 / $8.13	Facility		$3.39	$4.57	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $11.48 / $18.62	Facility		$2.29	$11.48	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $5.62 / $7.24	Professional		$1.95	$5.62	$7.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.16 / $5.50	Facility		$1.82	$3.16	$5.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.31 / $7.59	Professional		$3.47	$6.31	$7.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.80 / $79.43	Facility		$2.19	$3.80	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.00 / $4.07	Professional		$1.58	$2.00	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $33.11 / $70.79	Professional		$2.45	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.75 / $10.47	Professional		$3.89	$5.75	$10.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.59 / $79.43	Facility		$2.29	$7.59	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $4.17 / $18.62	Professional		$1.95	$4.17	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.62 / $2.40	Facility		$1.45	$1.62	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.86 / $3.09	Professional		$1.26	$1.86	$3.09