Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $10.00	Professional		$5.01	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $17.38	Facility		$10.47	$10.47	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $11.22	Professional		$9.77	$9.77	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $32.36 / $52.48	Facility		$28.18	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $15.14 / $19.95	Professional		$4.17	$15.14	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $8.51 / $16.98	Facility		$5.89	$8.51	$16.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $66.07 / $83.18	Professional		$10.23	$66.07	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $8.91 / $22.91	Facility		$5.89	$8.91	$22.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.13 / $173.78	Professional		$4.37	$5.13	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $33.11 / $70.79	Professional		$6.03	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $28.18	Professional		$10.47	$15.85	$28.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $89.13	Facility		$20.89	$20.89	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $15.49 / $181.97	Professional		$4.17	$15.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $8.32	Professional		$3.39	$5.13	$8.32