Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.45 / $3.98	Professional		$2.00	$2.45	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $8.32	Facility		$5.01	$5.01	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.68 / $5.62	Professional		$4.37	$4.68	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $15.85 / $25.12	Facility		$2.95	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $7.08 / $9.55	Professional		$2.51	$7.08	$9.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.17 / $7.24	Facility		$2.40	$4.17	$7.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $9.33 / $11.48	Professional		$4.47	$9.33	$11.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $4.90 / $79.43	Facility		$2.82	$4.90	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $5.62	Professional		$2.00	$2.51	$5.62
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 $5.01 / $7.59 / $13.80	Professional		$5.01	$7.59	$13.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $10.00 / $79.43	Facility		$2.95	$10.00	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $5.37 / $24.55	Professional		$2.51	$5.37	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.09 / $3.16	Facility		$1.91	$2.09	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.45 / $4.07	Professional		$1.62	$2.45	$4.07