Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $45.71	Facility		$15.85	$22.91	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $45.71	Professional		$15.14	$15.14	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.50	Professional		$15.49	$15.49	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $39.81 / $69.18	Facility		$15.49	$39.81	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $28.18	Professional		$15.49	$19.50	$28.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $18.62 / $20.89	Facility		$5.01	$18.62	$20.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $37.15 / $37.15	Professional		$2.69	$37.15	$37.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $17.38 / $20.89	Facility		$5.01	$17.38	$20.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $28.84	Professional		$17.38	$17.38	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $64.57 / $85.11	Professional		$15.49	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.60 / $54.95	Professional		$15.49	$16.60	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $112.20	Facility		$15.49	$15.49	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Professional		$20.42	$20.42	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $22.91	Professional		$15.49	$15.49	$22.91