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 $7.94 / $10.96 / $18.20	Professional		$7.94	$10.96	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $30.20	Facility		$18.20	$18.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.50	Professional		$16.98	$16.98	$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 $10.00 / $14.79 / $26.30	Facility		$10.00	$14.79	$26.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $43.65 / $54.95	Professional		$16.22	$43.65	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $37.15	Facility		$10.23	$14.79	$37.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $151.36	Professional		$7.59	$8.91	$151.36
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 $18.20 / $27.54 / $48.98	Professional		$18.20	$27.54	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $89.13	Facility		$36.31	$36.31	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $27.54 / $158.49	Professional		$7.41	$27.54	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $14.45	Professional		$6.03	$8.91	$14.45