Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.98	Professional		$8.91	$10.96	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Facility		$20.89	$20.89	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $23.44	Professional		$17.78	$19.50	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $47.86 / $102.33	Facility		$13.49	$47.86	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.20 / $39.81	Professional		$9.77	$30.20	$39.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.98 / $25.70	Facility		$10.47	$16.98	$25.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $25.12	Professional		$11.75	$19.50	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.42 / $102.33	Facility		$10.47	$20.42	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $23.44	Professional		$9.12	$11.75	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $54.95 / $70.79	Professional		$6.03	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $61.66	Professional		$20.89	$31.62	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $41.69 / $102.33	Facility		$13.49	$41.69	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $128.82	Professional		$9.77	$19.50	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.23 / $32.36	Facility		$7.94	$10.23	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.23 / $17.78	Professional		$7.76	$10.23	$17.78