Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.60 / $33.11	Facility		$10.96	$16.60	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $19.05	Professional		$10.96	$10.96	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.44 / $24.55	Facility		$20.42	$23.44	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $16.98	Professional		$10.00	$10.00	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $22.91 / $39.81	Facility		$10.96	$22.91	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $28.84	Professional		$11.22	$14.13	$28.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.96 / $22.39	Facility		$5.89	$10.96	$22.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.96 / $22.39	Facility		$5.89	$10.96	$22.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $17.78	Professional		$9.77	$11.75	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $64.57 / $85.11	Professional		$15.14	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $35.48	Professional		$10.96	$25.70	$35.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $27.54 / $100.00	Facility		$10.96	$27.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $18.20	Professional		$10.96	$14.79	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.96 / $10.96	Facility		$10.47	$10.96	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $17.38	Professional		$10.00	$11.48	$17.38