Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Professional		$3.98	$6.03	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $28.84	Professional		$7.59	$11.48	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $41.69	Facility		$22.39	$26.30	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.00 / $17.78	Professional		$6.92	$10.00	$17.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $6.76 / $9.33	Facility		$4.68	$6.76	$9.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $28.84	Professional		$18.20	$21.88	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $6.76 / $16.22	Facility		$4.68	$6.76	$16.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.37 / $67.61	Professional		$4.68	$5.37	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.62 / $27.54	Professional		$10.96	$18.62	$27.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $89.13	Facility		$15.85	$15.85	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $18.20 / $69.18	Professional		$6.92	$18.20	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $9.77	Professional		$3.39	$5.13	$9.77