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 / $2.00 / $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 $4.07 / $4.47 / $5.37	Professional		$4.07	$4.47	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $14.79 / $23.44	Facility		$2.82	$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 $2.29 / $3.98 / $6.92	Facility		$2.29	$3.98	$6.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $14.13 / $17.38	Professional		$4.27	$14.13	$17.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.79 / $79.43	Facility		$2.69	$4.79	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $5.50	Professional		$2.00	$2.51	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $33.11 / $70.79	Professional		$3.09	$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 $2.82 / $9.55 / $79.43	Facility		$2.82	$9.55	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $5.25 / $23.44	Professional		$2.40	$5.25	$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 Facility Modifier Low / Median / High Price $1.70 / $2.40 / $3.16	Facility		$1.70	$2.40	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.34 / $4.17	Professional		$1.58	$2.34	$4.17