Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $40.74	Facility		$24.55	$24.55	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $26.92	Professional		$16.98	$22.91	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $75.86 / $120.23	Facility		$15.85	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $46.77	Professional		$9.77	$32.36	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.95 / $34.67	Facility		$11.75	$19.95	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $30.20	Professional		$21.88	$24.55	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $112.20	Facility		$13.80	$23.99	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $26.30	Professional		$10.23	$12.02	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.11 / $70.79	Professional		$13.18	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $64.57	Professional		$24.55	$36.31	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $48.98 / $114.82	Facility		$15.85	$48.98	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.85 / $120.23	Professional		$9.77	$15.85	$120.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.23 / $15.14	Facility		$9.33	$10.23	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $19.50	Professional		$7.94	$12.02	$19.50