Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.62 / $5.62	Facility		$5.01	$5.62	$5.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.13	Professional		$5.01	$5.01	$8.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $7.24 / $12.88	Professional		$3.72	$7.24	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.88 / $22.39	Facility		$6.17	$12.88	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.61 / $7.94	Professional		$6.31	$6.61	$7.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.62 / $6.17	Facility		$3.63	$5.62	$6.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $9.33	Professional		$3.47	$3.47	$9.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.62 / $6.17	Facility		$3.63	$5.62	$6.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $16.22	Professional		$12.30	$13.49	$16.22
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 $5.75 / $8.71 / $12.02	Professional		$5.75	$8.71	$12.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $100.00	Facility		$6.17	$6.17	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $12.30	Professional		$6.61	$6.61	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $17.78	Professional		$12.30	$13.49	$17.78