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 / $18.20	Professional		$8.91	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $35.48	Facility		$21.38	$21.38	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $23.44	Professional		$15.14	$19.95	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $66.07 / $104.71	Facility		$13.80	$66.07	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $28.18 / $40.74	Professional		$8.51	$28.18	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.38 / $30.20	Facility		$10.23	$17.38	$30.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $26.30	Professional		$18.62	$20.89	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $97.72	Facility		$12.02	$20.89	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $22.91	Professional		$8.91	$10.47	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.11 / $70.79	Professional		$12.02	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $56.23	Professional		$21.38	$32.36	$56.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $42.66 / $100.00	Facility		$13.80	$42.66	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $104.71	Professional		$8.51	$13.80	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.91 / $13.49	Facility		$8.13	$8.91	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $16.98	Professional		$6.92	$10.47	$16.98