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 $10.00 / $15.14 / $41.69	Professional		$10.00	$15.14	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $30.20	Facility		$18.62	$18.62	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $19.50	Professional		$17.38	$17.38	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $26.30 / $34.67	Professional		$7.41	$26.30	$34.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.79 / $36.31	Facility		$10.47	$14.79	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $97.72 / $123.03	Professional		$18.20	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $40.74	Facility		$10.47	$15.85	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $295.12	Professional		$7.76	$9.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $70.79	Professional		$10.47	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $50.12	Professional		$18.62	$28.18	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $125.89	Facility		$37.15	$37.15	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $27.54 / $302.00	Professional		$7.41	$27.54	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.12 / $14.45	Professional		$6.03	$9.12	$14.45