Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.34 / $4.79	Facility		$1.62	$2.34	$4.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.69	Professional		$1.00	$1.00	$2.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.55	Facility		$2.00	$2.00	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.00	Professional		$1.58	$1.58	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.09 / $5.37	Facility		$1.58	$3.09	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $2.88	Professional		$1.62	$2.04	$2.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $3.55	Facility		$1.58	$1.58	$3.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.16 / $3.16	Professional		$2.34	$3.16	$3.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $3.55	Facility		$1.58	$1.58	$3.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.51	Professional		$1.58	$1.58	$2.51
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 $1.58 / $1.58 / $5.37	Professional		$1.58	$1.58	$5.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $85.11	Facility		$1.58	$1.58	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.63	Professional		$2.14	$2.14	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.58	Facility		$1.51	$1.51	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.45	Professional		$1.58	$1.58	$2.45