Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.98	Professional		$8.91	$10.96	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $31.62	Facility		$19.05	$19.05	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $21.38	Professional		$14.79	$17.78	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $58.88 / $93.33	Facility		$13.18	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.92 / $36.31	Professional		$11.22	$26.92	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.60 / $27.54	Facility		$10.72	$16.60	$27.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $35.48	Professional		$16.98	$28.18	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.62 / $102.33	Facility		$10.96	$18.62	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $22.39	Professional		$8.71	$10.96	$22.39
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 $19.05 / $28.84 / $58.88	Professional		$19.05	$28.84	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $38.02 / $104.71	Facility		$13.18	$38.02	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $109.65	Professional		$11.22	$22.39	$109.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $9.33 / $14.13	Facility		$8.51	$9.33	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $16.22	Professional		$7.41	$9.33	$16.22