Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $15.85	Professional		$10.00	$15.14	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $41.69	Facility		$22.91	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $28.84	Professional		$16.98	$22.91	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $85.11	Facility		$13.80	$13.80	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $43.65	Professional		$13.80	$25.70	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.95 / $28.18	Facility		$7.76	$19.95	$28.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $28.18 / $100.00	Facility		$7.76	$28.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $22.91	Professional		$10.23	$13.80	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $11.22 / $58.88	Professional		$1.12	$11.22	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $6.31	Professional		$3.02	$4.57	$6.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $45.71 / $100.00	Facility		$13.80	$45.71	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $16.22	Professional		$11.75	$13.80	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $9.55 / $15.14	Facility		$1.23	$9.55	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $24.55	Professional		$8.51	$13.18	$24.55