Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.00 / $28.84	Professional		$6.76	$10.00	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $20.42	Facility		$12.30	$12.30	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $13.18	Professional		$11.48	$11.48	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $60.26	Facility		$32.36	$38.02	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $17.78 / $23.44	Professional		$5.01	$17.78	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.00 / $17.78	Facility		$6.92	$10.00	$17.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $72.44 / $91.20	Professional		$12.30	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.47 / $27.54	Facility		$6.92	$10.47	$27.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $177.83	Professional		$5.13	$6.31	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $33.11 / $70.79	Professional		$7.08	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $32.36	Professional		$12.30	$18.62	$32.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $89.13	Facility		$24.55	$24.55	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.62 / $186.21	Professional		$5.01	$18.62	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $9.77	Professional		$4.07	$6.03	$9.77