Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.17	Professional		$1.00	$1.00	$1.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $2.82	Facility		$1.70	$1.70	$2.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.82	Professional		$1.58	$1.58	$1.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.25 / $8.32	Facility		$4.47	$5.25	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $2.34 / $3.24	Professional		$0.85	$2.34	$3.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.23 / $1.74	Facility		$0.93	$1.23	$1.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.24 / $3.89	Professional		$1.51	$3.24	$3.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.35 / $3.39	Facility		$0.93	$1.35	$3.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.83 / $17.78	Professional		$0.71	$0.83	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.51 / $4.27	Professional		$1.70	$2.51	$4.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $79.43	Facility		$3.39	$3.39	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $2.51 / $18.20	Professional		$0.85	$2.51	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.83 / $1.35	Professional		$0.56	$0.83	$1.35