Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.89 / $11.75	Facility		$4.07	$5.89	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $7.08	Professional		$3.02	$3.02	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.01	Professional		$3.98	$3.98	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $14.13 / $24.55	Facility		$3.98	$14.13	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.24	Professional		$3.98	$5.01	$7.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $15.85	Facility		$4.37	$4.37	$15.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $8.71 / $8.71	Professional		$3.72	$8.71	$8.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $15.85	Facility		$4.68	$4.68	$15.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $8.71	Professional		$4.68	$4.68	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $64.57 / $85.11	Professional		$3.98	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $15.14	Professional		$3.98	$6.03	$15.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $100.00	Facility		$3.98	$3.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $21.88	Professional		$8.13	$8.13	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Facility		$4.57	$4.57	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.31	Professional		$3.98	$3.98	$6.31