Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $10.00	Professional		$5.01	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Facility		$12.02	$12.02	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $13.49	Professional		$10.23	$11.22	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $37.15 / $58.88	Facility		$7.08	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $17.38 / $22.91	Professional		$6.03	$17.38	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.00 / $17.38	Facility		$5.75	$10.00	$17.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $28.18	Professional		$10.72	$22.91	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $79.43	Facility		$6.76	$12.02	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $13.18	Professional		$5.01	$6.03	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $33.11 / $70.79	Professional		$7.08	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $31.62	Professional		$12.02	$18.20	$31.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $23.99 / $79.43	Facility		$7.08	$23.99	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $13.18 / $58.88	Professional		$6.03	$13.18	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.01 / $7.59	Facility		$4.57	$5.01	$7.59
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $9.77	Professional		$3.98	$5.89	$9.77