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 $7.08 / $10.00 / $15.14	Professional		$7.08	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $29.51	Facility		$18.20	$18.20	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $19.95	Professional		$15.14	$16.60	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $54.95 / $87.10	Facility		$10.72	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $25.12 / $33.88	Professional		$9.12	$25.12	$33.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.14 / $25.70	Facility		$8.71	$15.14	$25.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $36.31	Professional		$16.22	$28.18	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.78 / $79.43	Facility		$10.00	$17.78	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $19.95	Professional		$7.59	$9.12	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $33.11 / $70.79	Professional		$11.22	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $47.86	Professional		$18.20	$26.92	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $35.48 / $85.11	Facility		$10.72	$35.48	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $89.13	Professional		$9.12	$19.95	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $7.59 / $11.48	Facility		$6.92	$7.59	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $14.45	Professional		$6.03	$8.71	$14.45