Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.23 / $3.72	Professional		$1.00	$1.23	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.55 / $0.91	Facility		$0.55	$0.55	$0.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.51 / $0.58	Professional		$0.51	$0.51	$0.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.65 / $0.85	Facility		$0.49	$0.65	$0.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.26	Professional		$0.76	$0.76	$1.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.09 / $3.39	Facility		$1.82	$2.09	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.91 / $1.05	Professional		$0.28	$0.91	$1.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.42 / $0.56	Facility		$0.31	$0.42	$0.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.98 / $3.16	Professional		$0.52	$0.98	$3.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.45 / $1.10	Facility		$0.31	$0.45	$1.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.28 / $2.69	Professional		$0.23	$0.28	$2.69
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 / $0.72 / $1.05	Professional		$0.43	$0.72	$1.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $79.43	Facility		$1.10	$1.10	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.83 / $2.69	Professional		$0.28	$0.83	$2.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.28 / $0.45	Professional		$0.18	$0.28	$0.45