Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $77.62	Facility		$11.75	$16.98	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $19.50	Professional		$10.96	$10.96	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.45	Professional		$11.22	$11.22	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.30 / $45.71	Facility		$11.22	$26.30	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $20.89	Professional		$11.48	$14.45	$20.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $21.38	Facility		$9.55	$9.55	$21.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $20.89	Professional		$14.45	$19.50	$20.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.22 / $25.12	Facility		$10.96	$11.22	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $66.07	Professional		$11.22	$16.60	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $64.57 / $85.11	Professional		$11.22	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $28.84	Professional		$11.22	$12.30	$28.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $1,258.93	Facility		$11.22	$11.22	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $20.42	Professional		$14.79	$16.60	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $66.07	Professional		$11.22	$13.49	$66.07