Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $512.86 / $645.65	Facility		$134.90	$512.86	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.98 / $23.99	Professional		$5.01	$16.98	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.20	Professional		$0.16	$0.16	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.38 / $0.66	Facility		$0.16	$0.38	$0.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.19 / $0.28	Professional		$0.15	$0.19	$0.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.71	Facility		$0.17	$0.17	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.34 / $1.35	Professional		$0.26	$0.34	$1.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.71	Facility		$0.17	$0.17	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.34	Professional		$0.17	$0.17	$0.34
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 $0.16 / $0.17 / $1.10	Professional		$0.16	$0.17	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.16 / $100.00	Facility		$0.16	$0.16	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.16	Professional		$0.16	$0.16	$0.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $1.00	Professional		$0.16	$0.16	$1.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.26	Professional		$0.16	$0.16	$0.26