Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.75 / $19.50	Facility		$3.89	$5.75	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.61	Professional		$3.02	$3.02	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.79	Professional		$3.80	$3.80	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $13.18 / $22.91	Facility		$3.80	$13.18	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $7.08	Professional		$3.89	$4.90	$7.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $9.33	Facility		$3.55	$3.55	$9.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.08 / $15.14	Professional		$5.37	$7.08	$15.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $9.33	Facility		$2.29	$2.29	$9.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $7.08	Professional		$2.29	$2.29	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.07 / $12.88	Professional		$3.80	$4.07	$12.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $100.00	Facility		$3.80	$3.80	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $12.59	Professional		$4.79	$4.79	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $6.17	Professional		$3.80	$3.80	$6.17