Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.77 / $9.77	Facility		$8.91	$9.77	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $10.23 / $10.23	Professional		$2.40	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.04 / $10.47	Facility		$1.00	$2.04	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $3.98 / $4.57	Professional		$0.76	$3.98	$4.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $2.57 / $12.30	Facility		$0.08	$2.57	$12.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $2.57 / $12.30	Facility		$0.08	$2.57	$12.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $13.49	Professional		$10.23	$10.23	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.50 / $8.13	Professional		$3.02	$5.50	$8.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $100.00	Facility		$10.47	$10.47	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $7.76	Professional		$4.17	$4.17	$7.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Facility		$0.47	$0.47	$0.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.72 / $14.45	Professional		$10.23	$10.72	$14.45