Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $85.11	Facility		$0.33	$0.33	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.33 / $0.39	Facility		$0.31	$0.33	$0.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.33 / $0.43	Facility		$0.31	$0.33	$0.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $851.14	Professional		$0.33	$0.33	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $58.88 / $70.79	Professional		$0.40	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $85.11	Facility		$0.33	$0.33	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $851.14	Professional		$0.33	$0.33	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.37	Professional		$0.33	$0.33	$0.37