Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $34.67	Facility		$28.84	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,630.27 / $5,248.07	Professional		$125.89	$2,630.27	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.19 / $1.00	Professional		$0.18	$0.19	$1.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.05 / $1.70	Facility		$0.89	$1.05	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.49 / $1.20	Professional		$0.43	$0.49	$1.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.76	Facility		$0.50	$0.50	$0.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.95 / $1.26	Professional		$0.85	$0.95	$1.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $7.76	Facility		$0.50	$0.50	$7.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.26 / $0.30	Professional		$0.24	$0.26	$0.30