Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,621.81	Professional		$524.81	$851.14	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.18 / $22.39	Facility		$12.59	$13.18	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.18 / $79.43	Facility		$12.59	$13.18	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $1,380.38	Professional		$12.88	$12.88	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $83.18	Professional		$14.45	$23.44	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $64.57 / $549.54	Facility		$13.18	$64.57	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $1,380.38	Professional		$13.18	$13.18	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80