Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.13 / $16.22	Facility		$5.62	$8.13	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $23.99	Professional		$5.01	$5.01	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.92	Professional		$5.37	$5.37	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $19.50 / $33.88	Facility		$5.37	$19.50	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $10.00	Professional		$5.37	$6.92	$10.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $12.30	Facility		$4.47	$4.47	$12.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $8.91 / $8.91	Professional		$3.24	$8.91	$8.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $12.30	Facility		$5.62	$5.62	$12.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $8.91	Professional		$5.62	$5.62	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $64.57 / $85.11	Professional		$5.37	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $15.14	Professional		$5.37	$5.37	$15.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $100.00	Facility		$5.37	$5.37	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $16.98	Professional		$6.31	$6.31	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $8.13	Professional		$5.37	$5.37	$8.13