Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.31 / $12.88	Facility		$4.57	$6.31	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.76	Professional		$3.98	$3.98	$7.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.62	Professional		$4.47	$4.47	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.50 / $9.33	Facility		$3.47	$5.50	$9.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $8.32	Professional		$4.57	$5.75	$8.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $5.01	Facility		$2.24	$2.24	$5.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.47 / $6.46	Professional		$3.39	$4.47	$6.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $91.20	Facility		$2.24	$2.24	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $4.47	Professional		$2.24	$2.24	$4.47
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 $3.89 / $4.47 / $7.76	Professional		$3.89	$4.47	$7.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $213.80	Facility		$4.47	$4.47	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $6.92	Professional		$5.25	$5.25	$6.92
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 $4.47 / $4.47 / $7.24	Professional		$4.47	$4.47	$7.24