Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.51 / $95.50	Facility		$4.37	$8.51	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Professional		$3.98	$3.98	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.37	Professional		$4.17	$4.17	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.32 / $14.45	Facility		$4.17	$8.32	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $7.76	Professional		$4.17	$5.37	$7.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.17 / $9.33	Facility		$3.98	$4.17	$9.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $8.32 / $8.32	Professional		$0.54	$8.32	$8.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.17 / $9.33	Facility		$3.98	$4.17	$9.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $6.61	Professional		$4.17	$4.17	$6.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $64.57 / $85.11	Professional		$4.17	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.47 / $12.02	Professional		$4.17	$4.47	$12.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $100.00	Facility		$4.17	$4.17	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.62 / $6.92	Professional		$5.25	$5.62	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $6.31	Professional		$4.17	$4.17	$6.31