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 Professional Modifier Low / Median / High Price $1.35 / $2.14 / $4.57	Professional		$1.35	$2.14	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.17 / $6.76	Facility		$3.63	$4.17	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.86 / $2.82	Professional		$1.23	$1.86	$2.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.10 / $2.24	Facility		$0.79	$1.10	$2.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $5.37 / $7.41	Professional		$1.48	$5.37	$7.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.17 / $2.69	Facility		$0.79	$1.17	$2.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.85 / $12.30	Professional		$0.79	$0.85	$12.30
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 $1.48 / $3.02 / $4.37	Professional		$1.48	$3.02	$4.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $89.13	Facility		$2.51	$2.51	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $6.92 / $12.88	Professional		$1.23	$6.92	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.81 / $1.41	Professional		$0.55	$0.81	$1.41