Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $34.67	Professional		$26.30	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $33.88	Professional		$23.99	$23.99	$33.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $38.02	Facility		$25.12	$25.12	$38.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $77.62	Professional		$53.70	$60.26	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $89.13	Facility		$25.12	$25.12	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $100.00	Facility		$33.11	$70.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $33.11	Professional		$23.99	$23.99	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13