Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.62 / $154.88	Facility		$2.88	$5.62	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $7.76	Professional		$2.00	$2.00	$7.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.55	Professional		$2.82	$2.82	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.25 / $9.12	Facility		$2.82	$5.25	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.55 / $5.25	Professional		$2.82	$3.55	$5.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $5.75	Facility		$2.75	$2.75	$5.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $5.50 / $5.50	Professional		$2.40	$5.50	$5.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.82 / $7.76	Facility		$1.95	$2.82	$7.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $5.50	Professional		$2.82	$2.82	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $64.57 / $85.11	Professional		$2.82	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.16 / $7.94	Professional		$2.82	$3.16	$7.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $100.00	Facility		$2.82	$2.82	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.25	Professional		$4.27	$4.27	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $4.27	Professional		$2.82	$2.82	$4.27