Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $16.98	Professional		$8.91	$12.88	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $67.61	Professional		$17.78	$27.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $37.15	Professional		$14.45	$21.38	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $19.50	Facility		$10.00	$14.45	$19.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $77.62	Professional		$48.98	$58.88	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $35.48	Facility		$10.00	$14.45	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $138.04	Professional		$10.00	$11.48	$138.04
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 $22.91 / $38.90 / $58.88	Professional		$22.91	$38.90	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $114.82	Facility		$33.11	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $37.15 / $144.54	Professional		$14.45	$37.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $20.42	Professional		$7.24	$10.96	$20.42