Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.13 / $10.23	Facility		$3.55	$5.13	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.89	Professional		$3.02	$3.02	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $7.08	Professional		$3.47	$3.47	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.94 / $13.80	Facility		$3.47	$7.94	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.37 / $6.31	Professional		$3.55	$4.37	$6.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $8.32	Facility		$3.47	$3.47	$8.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.92 / $6.92	Professional		$5.25	$6.92	$6.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $12.88	Facility		$3.47	$3.47	$12.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.50	Professional		$3.47	$3.47	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.72 / $11.75	Professional		$3.47	$3.72	$11.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $100.00	Facility		$3.47	$3.47	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $15.14	Professional		$4.27	$4.27	$15.14
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 $3.47 / $3.47 / $5.01	Professional		$3.47	$3.47	$5.01