Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.51	Professional		$1.00	$2.00	$2.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $5.89	Facility		$3.55	$3.55	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.31 / $3.98	Professional		$3.16	$3.31	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $10.47 / $16.98	Facility		$2.51	$10.47	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $5.13 / $6.76	Professional		$1.78	$5.13	$6.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.95 / $5.13	Facility		$1.70	$2.95	$5.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.50 / $6.61	Professional		$3.16	$5.50	$6.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.47 / $79.43	Facility		$2.00	$3.47	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.86 / $3.98	Professional		$1.48	$1.86	$3.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $33.11 / $70.79	Professional		$2.75	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.37 / $9.55	Professional		$3.55	$5.37	$9.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $7.08 / $79.43	Facility		$2.09	$7.08	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.80 / $17.38	Professional		$1.78	$3.80	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.78 / $2.29	Facility		$1.26	$1.78	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $3.09	Professional		$1.15	$1.74	$3.09