Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.98 / $3.98	Facility		$3.02	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.90 / $5.13	Facility		$4.27	$4.90	$5.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $4.17	Professional		$0.06	$0.06	$4.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.90 / $4.90	Facility		$3.98	$4.90	$4.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.90 / $4.90	Facility		$3.98	$4.90	$4.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.37	Professional		$4.17	$4.17	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $85.11	Facility		$4.17	$4.17	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.90 / $4.90	Facility		$2.29	$4.90	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.37 / $5.89	Professional		$4.17	$4.37	$5.89