Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.03 / $12.02	Facility		$4.17	$6.03	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.92	Professional		$3.98	$3.98	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.12	Facility		$5.01	$5.01	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.13	Professional		$4.07	$4.07	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.94 / $13.80	Facility		$4.07	$7.94	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $7.41	Professional		$4.07	$5.13	$7.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.07 / $9.33	Facility		$3.31	$4.07	$9.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $8.13 / $8.13	Professional		$1.35	$8.13	$8.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.07 / $9.33	Facility		$3.31	$4.07	$9.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $6.61	Professional		$4.07	$4.07	$6.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $64.57 / $85.11	Professional		$4.07	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $12.02	Professional		$4.07	$4.07	$12.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $100.00	Facility		$4.07	$4.07	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $6.76	Professional		$4.37	$5.50	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $4.07	Facility		$3.98	$3.98	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.50	Professional		$4.07	$4.07	$5.50