Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.05 / $125.89	Facility		$9.77	$19.05	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $16.60	Professional		$8.91	$8.91	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $12.02	Professional		$9.55	$9.55	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $32.36 / $56.23	Facility		$9.55	$32.36	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $17.78	Professional		$9.55	$12.30	$17.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $9.12 / $19.95	Facility		$4.68	$9.12	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $18.20 / $18.20	Professional		$2.69	$18.20	$18.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $42.66	Facility		$3.98	$3.98	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $18.20	Professional		$3.98	$3.98	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $64.57 / $85.11	Professional		$9.55	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.47 / $29.51	Professional		$9.55	$10.47	$29.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $100.00	Facility		$9.55	$9.55	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $14.13 / $17.38	Professional		$6.03	$14.13	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $14.45	Professional		$9.55	$9.55	$14.45