Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.70 / $3.39	Facility		$1.17	$1.70	$3.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.95	Professional		$1.00	$1.00	$1.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $2.51	Facility		$1.41	$1.41	$2.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.45	Professional		$1.12	$1.12	$1.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.57 / $4.47	Facility		$1.12	$2.57	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.45 / $2.09	Professional		$1.15	$1.45	$2.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $2.14	Facility		$1.12	$1.12	$2.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.24 / $2.24	Professional		$1.70	$2.24	$2.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $2.88	Facility		$1.17	$1.17	$2.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $2.24	Professional		$1.17	$1.17	$2.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $64.57 / $85.11	Professional		$1.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.20 / $3.24	Professional		$1.12	$1.20	$3.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $85.11	Facility		$1.12	$1.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.95	Professional		$1.58	$1.58	$1.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.20 / $1.20	Facility		$1.12	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.82	Professional		$1.12	$1.12	$1.82