Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.90 / $18,197.01	Facility		$16.22	$30.90	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $26.92	Professional		$15.14	$15.14	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $34.67	Facility		$19.50	$19.50	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.95	Professional		$15.49	$15.49	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $32.36 / $56.23	Facility		$15.49	$32.36	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.84	Professional		$15.85	$19.95	$28.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $33.88	Facility		$12.59	$15.49	$33.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $30.90	Professional		$23.44	$30.90	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $33.88	Facility		$14.79	$15.49	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $25.12	Professional		$15.49	$15.49	$25.12
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 $15.49 / $16.98 / $46.77	Professional		$15.49	$16.98	$46.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $85.11	Facility		$15.49	$15.49	$85.11
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 $16.98 / $20.42 / $25.12	Professional		$16.98	$20.42	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38