Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.49 / $30.90	Facility		$10.00	$15.49	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $16.98	Professional		$10.00	$10.00	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $22.91	Professional		$10.47	$10.47	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $39.81	Facility		$10.72	$22.91	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $16.98	Professional		$10.47	$13.18	$16.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.23 / $22.91	Facility		$7.24	$10.23	$22.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $20.42 / $20.42	Professional		$7.24	$20.42	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.23 / $22.91	Facility		$7.24	$10.23	$22.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.60	Professional		$10.23	$10.23	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.50 / $33.88	Professional		$10.23	$19.50	$33.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $100.00	Facility		$10.72	$10.72	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.98	Professional		$13.80	$13.80	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $14.45	Professional		$10.47	$10.47	$14.45