Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $7.59 / $15.85	Facility		$2.00	$7.59	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $7.76	Facility		$4.68	$4.68	$7.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $5.01	Professional		$4.37	$4.37	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $6.61 / $8.91	Professional		$1.86	$6.61	$8.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.39 / $4.79	Facility		$2.57	$3.39	$4.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $7.76	Professional		$4.17	$6.17	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.72 / $10.47	Facility		$2.57	$3.72	$10.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $22.91	Professional		$1.95	$2.29	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.08 / $12.59	Professional		$4.68	$7.08	$12.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $79.43	Facility		$9.33	$9.33	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $7.08 / $22.91	Professional		$1.86	$7.08	$22.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.29 / $3.72	Professional		$1.51	$2.29	$3.72