Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.76 / $10,000.00	Facility		$3.98	$7.76	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $6.61	Professional		$3.02	$3.89	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $8.71	Facility		$4.90	$4.90	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.90	Professional		$3.89	$3.89	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.94 / $13.80	Facility		$3.89	$7.94	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.24	Professional		$3.98	$5.01	$7.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.89 / $8.51	Facility		$3.63	$3.89	$8.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $7.76	Professional		$5.89	$7.76	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.89 / $8.51	Facility		$3.63	$3.89	$8.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.17	Professional		$3.89	$3.89	$6.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $64.57 / $85.11	Professional		$3.89	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.27 / $12.02	Professional		$3.89	$4.27	$12.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $85.11	Facility		$3.89	$3.89	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.25 / $6.46	Professional		$4.79	$5.25	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.37	Professional		$3.89	$3.89	$5.37