Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $8.32	Facility		$2.00	$2.00	$8.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $8.51	Facility		$5.13	$5.13	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.37	Professional		$4.79	$4.79	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $25.12	Facility		$13.49	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $7.59 / $9.77	Professional		$2.57	$7.59	$9.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.63 / $5.25	Facility		$2.82	$3.63	$5.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.32 / $10.47	Professional		$4.57	$8.32	$10.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.89 / $10.23	Facility		$2.82	$3.89	$10.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.51 / $25.12	Professional		$2.14	$2.51	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $33.11 / $70.79	Professional		$1.41	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $13.80	Professional		$5.13	$7.76	$13.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $79.43	Facility		$10.23	$10.23	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $7.59 / $25.12	Professional		$2.57	$7.59	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.51 / $4.07	Professional		$1.70	$2.51	$4.07