Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $7.76	Facility		$2.00	$2.00	$7.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $7.94	Facility		$4.79	$4.79	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.13	Professional		$4.47	$4.47	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $7.08 / $9.12	Professional		$2.40	$7.08	$9.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.39 / $4.90	Facility		$2.63	$3.39	$4.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $9.77 / $12.30	Professional		$4.27	$9.77	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.63 / $9.55	Facility		$2.63	$3.63	$9.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.34 / $23.44	Professional		$2.00	$2.34	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $33.11 / $70.79	Professional		$1.62	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $12.59	Professional		$4.79	$7.24	$12.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $79.43	Facility		$9.55	$9.55	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $7.08 / $23.44	Professional		$2.40	$7.08	$23.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.34 / $3.80	Professional		$1.55	$2.34	$3.80