Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $15.14	Professional		$10.00	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $37.15 / $37.15	Facility		$20.42	$37.15	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $25.70	Professional		$18.20	$20.42	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $79.43	Facility		$13.49	$14.13	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $38.90	Professional		$13.49	$24.55	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.79 / $23.99	Facility		$7.24	$14.79	$23.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $19.95 / $95.50	Facility		$7.24	$19.95	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $19.05	Professional		$9.33	$12.02	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $50.12 / $89.13	Professional		$8.32	$50.12	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.57 / $6.31	Professional		$2.69	$4.57	$6.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $40.74 / $95.50	Facility		$13.49	$40.74	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $15.49	Professional		$11.48	$13.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $8.51 / $15.14	Facility		$1.07	$8.51	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $20.42	Professional		$7.59	$11.48	$20.42