Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.72 / $4.17	Professional		$1.00	$3.72	$4.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.74	Facility		$0.45	$0.45	$0.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.47	Professional		$0.42	$0.42	$0.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.05 / $1.70	Facility		$0.89	$1.05	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.47 / $0.85	Professional		$0.22	$0.47	$0.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.35 / $0.47	Facility		$0.25	$0.35	$0.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.60 / $2.19	Professional		$0.41	$0.60	$2.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.37 / $0.89	Facility		$0.25	$0.37	$0.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $2.19	Professional		$0.19	$0.22	$2.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.68 / $1.05	Professional		$0.43	$0.68	$1.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $79.43	Facility		$0.89	$0.89	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.68 / $2.19	Professional		$0.22	$0.68	$2.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.22 / $0.36	Professional		$0.15	$0.22	$0.36