Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $2.69	Facility		$1.62	$1.62	$2.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.74	Professional		$1.51	$1.51	$1.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.25 / $8.32	Facility		$4.47	$5.25	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $2.34 / $3.09	Professional		$0.81	$2.34	$3.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.17 / $1.70	Facility		$0.89	$1.17	$1.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.51 / $9.12	Professional		$1.45	$2.51	$9.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.26 / $3.24	Facility		$0.89	$1.26	$3.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.79 / $7.94	Professional		$0.68	$0.79	$7.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $33.11 / $70.79	Professional		$0.48	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.45 / $4.27	Professional		$1.62	$2.45	$4.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $79.43	Facility		$3.24	$3.24	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $2.45 / $7.94	Professional		$0.81	$2.45	$7.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.79 / $1.29	Professional		$0.54	$0.79	$1.29