Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.26 / $2.04	Facility		$1.00	$1.26	$2.04
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 $3.47 / $3.47 / $5.75	Facility		$3.47	$3.47	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.63	Professional		$3.24	$3.24	$3.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.47 / $16.98	Facility		$8.91	$10.47	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $4.68 / $6.61	Professional		$1.74	$4.68	$6.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.51 / $3.55	Facility		$1.91	$2.51	$3.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $5.37	Professional		$3.09	$4.37	$5.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.57 / $6.92	Facility		$1.91	$2.57	$6.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.70 / $16.98	Professional		$1.45	$1.70	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $33.11 / $70.79	Professional		$2.29	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.25 / $9.55	Professional		$3.47	$5.25	$9.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $79.43	Facility		$6.92	$6.92	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $5.13 / $16.98	Professional		$1.74	$5.13	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.70 / $2.75	Professional		$1.12	$1.70	$2.75