Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.25 / $17.38	Professional		$3.72	$5.25	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $47.86	Facility		$22.39	$39.81	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $20.42	Professional		$8.71	$13.49	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $19.05 / $24.55	Facility		$5.50	$19.05	$24.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $19.05 / $24.55	Facility		$4.68	$19.05	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.72 / $40.74	Professional		$6.03	$10.72	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.77 / $16.22	Professional		$6.31	$9.77	$16.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $70.79	Facility		$12.02	$12.02	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $21.88 / $40.74	Professional		$7.76	$21.88	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $60.26	Professional		$26.30	$42.66	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $11.48	Facility		$9.77	$9.77	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.51 / $19.50	Professional		$5.62	$8.51	$19.50