Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.00 / $19.95	Facility		$6.92	$10.00	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $18.62	Professional		$6.03	$6.03	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $16.22	Professional		$6.76	$6.76	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.59 / $13.18	Facility		$4.90	$7.59	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $12.30	Professional		$6.76	$8.51	$12.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $32.36 / $32.36	Professional		$7.41	$32.36	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $32.36	Professional		$15.49	$15.49	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $54.95 / $85.11	Professional		$6.76	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $47.86	Professional		$6.76	$9.55	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $407.38	Facility		$6.76	$6.76	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.80	Professional		$11.22	$11.22	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.72	Professional		$6.76	$6.76	$10.72