Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.39	Professional		$3.02	$3.02	$3.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $44.67	Facility		$27.54	$27.54	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Professional		$25.70	$25.70	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $38.90 / $51.29	Professional		$6.76	$38.90	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.17 / $26.92	Facility		$3.31	$4.17	$26.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $93.33	Professional		$26.92	$28.18	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.01 / $54.95	Facility		$3.31	$5.01	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $134.90	Professional		$12.02	$14.13	$134.90
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 $27.54 / $40.74 / $72.44	Professional		$27.54	$40.74	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Facility		$54.95	$54.95	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $40.74 / $134.90	Professional		$6.76	$40.74	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.13 / $23.44	Professional		$9.33	$14.13	$23.44