Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.89 / $7.76	Facility		$2.69	$3.89	$7.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.47	Professional		$2.00	$2.00	$4.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.31	Professional		$2.57	$2.57	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $5.25 / $9.12	Facility		$2.57	$5.25	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.31 / $4.79	Professional		$2.63	$3.31	$4.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $5.75	Facility		$2.63	$2.63	$5.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.25 / $5.25	Professional		$3.89	$5.25	$5.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $5.75	Facility		$2.63	$2.63	$5.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $4.17	Professional		$2.63	$2.63	$4.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.82 / $8.71	Professional		$2.57	$2.82	$8.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $85.11	Facility		$2.57	$2.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $4.37	Professional		$3.55	$3.55	$4.37
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.55	Professional		$2.57	$2.57	$3.55