Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $44.67	Facility		$15.49	$22.39	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.70	Professional		$14.13	$14.13	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.05	Professional		$14.79	$14.79	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $35.48 / $61.66	Facility		$14.79	$35.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $27.54	Professional		$15.14	$19.05	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $16.60	Facility		$12.88	$16.60	$16.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $33.11 / $33.11	Professional		$7.76	$33.11	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.20 / $18.20	Facility		$12.88	$18.20	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $29.51	Professional		$18.20	$18.20	$29.51
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 $14.79 / $16.22 / $50.12	Professional		$14.79	$16.22	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $100.00	Facility		$14.79	$14.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $26.30	Professional		$14.79	$21.38	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $22.39	Professional		$14.79	$14.79	$22.39