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 $8.91 / $12.02 / $19.05	Professional		$8.91	$12.02	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $38.02	Facility		$22.91	$22.91	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $25.70	Professional		$19.50	$21.38	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $67.61 / $107.15	Facility		$13.49	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $30.90 / $43.65	Professional		$11.48	$30.90	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $28.84	Facility		$10.72	$18.62	$28.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $43.65	Professional		$20.42	$36.31	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.39 / $102.33	Facility		$11.75	$22.39	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $25.70	Professional		$9.55	$11.48	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.11 / $70.79	Professional		$9.55	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $60.26	Professional		$22.91	$33.88	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $45.71 / $107.15	Facility		$13.49	$45.71	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $112.20	Professional		$11.48	$24.55	$112.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.00 / $14.13	Facility		$7.76	$10.00	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $18.62	Professional		$7.41	$11.22	$18.62