Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.37 / $10.72	Facility		$3.72	$5.37	$10.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $8.91	Professional		$3.02	$3.02	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $8.13	Facility		$4.47	$4.47	$8.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.68	Professional		$3.63	$3.63	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13.80 / $23.99	Facility		$3.63	$13.80	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.57 / $6.61	Professional		$3.72	$4.57	$6.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $10.72	Facility		$4.68	$4.68	$10.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $9.33	Professional		$7.08	$9.33	$9.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $12.02	Facility		$5.50	$5.50	$12.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $9.33	Professional		$5.50	$5.50	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $85.11	Professional		$3.63	$3.63	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.25 / $19.05	Professional		$3.63	$5.25	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $85.11	Facility		$3.63	$3.63	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $5.37	Professional		$4.37	$4.37	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.62 / $5.62	Facility		$3.63	$5.62	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.75	Professional		$3.63	$3.63	$5.75