Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.95 / $5.89	Facility		$2.04	$2.95	$5.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.70 / $2.95	Professional		$1.00	$1.70	$2.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.51	Professional		$1.95	$1.95	$2.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.63 / $4.47	Facility		$1.95	$2.63	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.04 / $4.07	Professional		$1.95	$2.04	$4.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.09 / $2.95	Facility		$1.45	$2.09	$2.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $4.27 / $7.94	Professional		$1.78	$4.27	$7.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.58 / $2.29	Facility		$1.29	$1.58	$2.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.78 / $407.38	Professional		$1.58	$1.78	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $64.57 / $70.79	Professional		$3.47	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.63 / $6.46	Professional		$1.95	$3.63	$6.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $100.00	Facility		$1.95	$1.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.02 / $407.38	Professional		$1.95	$3.02	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.19 / $2.95	Professional		$1.32	$2.19	$2.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.09 / $2.34	Professional		$1.95	$2.09	$2.34