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 $5.01 / $7.94 / $10.96	Professional		$5.01	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $20.89	Facility		$12.88	$12.88	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.49	Professional		$11.75	$11.75	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $61.66	Facility		$33.11	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $18.20 / $23.99	Professional		$5.13	$18.20	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.00 / $18.20	Facility		$7.08	$10.00	$18.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $15.14	Professional		$8.32	$12.59	$15.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.23 / $25.12	Facility		$7.08	$10.23	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.17 / $100.00	Professional		$5.25	$6.17	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $33.11 / $70.79	Professional		$7.24	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $34.67	Professional		$12.88	$19.05	$34.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $89.13	Facility		$25.12	$25.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $19.05 / $102.33	Professional		$5.13	$19.05	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $10.00	Professional		$4.17	$6.17	$10.00