Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $4.07	Facility		$1.00	$1.00	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.27	Professional		$1.00	$1.00	$4.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $4.17	Facility		$2.51	$2.51	$4.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.63	Professional		$2.34	$2.34	$2.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.95 / $3.89	Facility		$2.19	$2.95	$3.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.75	Professional		$3.47	$3.47	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $11.75	Facility		$6.31	$7.41	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.72 / $4.68	Professional		$1.26	$3.72	$4.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.82 / $2.57	Facility		$1.38	$1.82	$2.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.95 / $3.72	Professional		$2.24	$2.95	$3.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.86 / $5.01	Facility		$1.38	$1.86	$5.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.23 / $12.30	Professional		$1.05	$1.23	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $33.11 / $70.79	Professional		$0.62	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.72 / $6.31	Professional		$2.51	$3.72	$6.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $79.43	Facility		$5.01	$5.01	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.72 / $12.30	Professional		$1.26	$3.72	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.23 / $1.95	Professional		$0.81	$1.23	$1.95