Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.45 / $12.88	Professional		$2.14	$2.45	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $1.45	Facility		$0.87	$0.87	$1.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.98	Professional		$0.81	$0.81	$0.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.16 / $5.01	Facility		$2.69	$3.16	$5.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.45 / $1.66	Professional		$1.12	$1.45	$1.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.85 / $1.23	Facility		$0.69	$0.85	$1.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.85 / $89.13	Facility		$0.69	$0.85	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $1.23 / $2.88	Professional		$0.47	$1.23	$2.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $64.57 / $89.13	Professional		$0.95	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.32 / $3.02	Professional		$0.87	$1.32	$3.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $89.13 / $89.13	Facility		$1.78	$89.13	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Facility		$0.87	$0.87	$0.87
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $1.07 / $2.82	Professional		$0.34	$1.07	$2.82