Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Facility		$4.27	$4.27	$7.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $4.57	Professional		$3.98	$3.98	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $21.88	Facility		$11.75	$13.80	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $6.03 / $8.13	Professional		$1.74	$6.03	$8.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.47 / $6.76	Facility		$2.45	$3.47	$6.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $36.31 / $45.71	Professional		$4.27	$36.31	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.63 / $9.55	Facility		$2.45	$3.63	$9.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $69.18	Professional		$1.78	$2.09	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $33.11 / $70.79	Professional		$2.45	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.46 / $11.48	Professional		$4.27	$6.46	$11.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $89.13	Facility		$8.51	$8.51	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $6.46 / $72.44	Professional		$1.74	$6.46	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.09 / $3.39	Professional		$1.41	$2.09	$3.39