Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $18.20	Facility		$10.96	$10.96	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $11.75	Professional		$10.23	$10.23	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Facility		$28.84	$33.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $15.49 / $20.89	Professional		$5.50	$15.49	$20.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $7.24 / $11.22	Facility		$5.89	$7.24	$11.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $16.22	Professional		$9.77	$13.18	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.13 / $21.88	Facility		$6.03	$8.13	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.37 / $57.54	Professional		$4.57	$5.37	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $33.11 / $70.79	Professional		$4.90	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $28.18	Professional		$10.96	$16.60	$28.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $79.43	Facility		$21.88	$21.88	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.22 / $58.88	Professional		$5.50	$16.22	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.37 / $8.71	Professional		$3.63	$5.37	$8.71