Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $12.88	Professional		$6.03	$10.96	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $23.99	Facility		$14.45	$14.45	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.22	Professional		$13.49	$13.49	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $72.44	Facility		$38.90	$45.71	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $27.54	Professional		$16.60	$20.42	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $15.14	Facility		$10.47	$14.45	$15.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $85.11	Facility		$10.47	$14.45	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.45 / $35.48	Professional		$7.08	$14.45	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $45.71	Professional		$14.45	$22.39	$45.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $85.11 / $85.11	Facility		$28.84	$85.11	$85.11
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 $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $13.18 / $37.15	Professional		$5.62	$13.18	$37.15