Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $100.00	Facility		$16.98	$50.12	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $53.70	Professional		$1.00	$1.00	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.08 / $0.13	Facility		$0.02	$0.08	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.05	Professional		$0.03	$0.04	$0.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.33	Facility		$0.02	$0.02	$0.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.26	Professional		$0.03	$0.04	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.95 / $3.24	Facility		$0.02	$0.95	$3.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
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 $0.02 / $0.02 / $1.00	Professional		$0.02	$0.02	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $100.00	Facility		$0.02	$0.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.22	Professional		$0.03	$0.03	$0.22
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03