Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.95 / $3.89	Facility		$1.32	$1.95	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.24	Professional		$1.00	$1.00	$2.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $2.88	Facility		$1.62	$1.62	$2.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.62	Professional		$1.29	$1.29	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.51 / $4.37	Facility		$1.32	$2.51	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.62 / $2.40	Professional		$1.32	$1.62	$2.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.88	Facility		$1.29	$1.29	$2.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.57 / $2.57	Professional		$1.95	$2.57	$2.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.88	Facility		$1.29	$1.29	$2.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.04	Professional		$1.29	$1.29	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.41 / $4.37	Professional		$1.29	$1.41	$4.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $85.11	Facility		$1.32	$1.32	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.14	Professional		$1.74	$1.74	$2.14
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.29	Facility		$1.20	$1.20	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.78	Professional		$1.29	$1.29	$1.78