Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.31 / $12.59	Facility		$4.37	$6.31	$12.59
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 / $9.55	Facility		$5.25	$5.25	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.37	Professional		$4.27	$4.27	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $8.13 / $14.13	Facility		$4.27	$8.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.37 / $7.76	Professional		$4.27	$5.37	$7.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.27 / $9.33	Facility		$2.63	$4.27	$9.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $8.51	Professional		$6.31	$8.51	$8.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.27 / $9.33	Facility		$2.63	$4.27	$9.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $6.76	Professional		$4.27	$4.27	$6.76
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 $4.27 / $4.57 / $12.88	Professional		$4.27	$4.57	$12.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $85.11	Facility		$4.27	$4.27	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.75 / $7.08	Professional		$3.63	$5.75	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $4.27	Facility		$3.98	$3.98	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $6.76	Professional		$4.27	$4.27	$6.76