Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.18	Professional		$0.12	$0.12	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.89 / $1.32	Facility		$0.49	$0.89	$1.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.43 / $0.49	Professional		$0.38	$0.43	$0.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.13	Facility		$0.10	$0.10	$0.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $95.50	Facility		$0.10	$0.10	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.32	Professional		$0.10	$0.12	$0.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.91 / $2.09	Professional		$1.62	$1.91	$2.09
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Facility		$0.05	$0.05	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.19	Professional		$0.10	$0.12	$0.19