Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $25.12	Professional		$12.02	$18.20	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $48.98	Facility		$30.20	$30.20	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $31.62	Professional		$28.18	$28.18	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Facility		$79.43	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $42.66 / $56.23	Professional		$15.14	$42.66	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $30.90	Facility		$16.60	$21.38	$30.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $53.70	Professional		$26.92	$42.66	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $60.26	Facility		$16.60	$23.99	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $147.91	Professional		$12.59	$14.79	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $70.79	Professional		$12.59	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $77.62	Professional		$30.20	$44.67	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $138.04	Facility		$60.26	$60.26	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $44.67 / $147.91	Professional		$15.14	$44.67	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $23.44	Professional		$9.77	$14.79	$23.44