Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.40 / $4.79	Facility		$1.62	$2.40	$4.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.75	Professional		$1.00	$1.00	$2.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.55	Facility		$2.00	$2.00	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.00	Professional		$1.58	$1.58	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.24 / $5.62	Facility		$1.58	$3.24	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $2.95	Professional		$1.62	$2.04	$2.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.62 / $1.62	Facility		$0.81	$1.62	$1.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $3.24 / $3.24	Professional		$0.79	$3.24	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.51 / $1.55	Facility		$0.81	$1.51	$1.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $2.45	Professional		$1.55	$1.55	$2.45
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 $1.58 / $1.58 / $5.01	Professional		$1.58	$1.58	$5.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $100.00	Facility		$1.58	$1.58	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.14 / $2.63	Professional		$1.62	$2.14	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.58	Facility		$1.55	$1.55	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.34	Professional		$1.58	$1.58	$2.34