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 $15.14 / $15.14 / $25.70	Professional		$15.14	$15.14	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $33.11	Facility		$18.62	$18.62	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $31.62 / $54.95	Facility		$15.14	$31.62	$54.95
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 $13.80 / $15.14 / $33.11	Facility		$13.80	$15.14	$33.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $30.20 / $30.20	Professional		$8.51	$30.20	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $15.14	Facility		$1.51	$1.51	$15.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $23.99	Professional		$15.14	$15.14	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $64.57 / $85.11	Professional		$15.14	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $44.67	Professional		$15.14	$16.22	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $100.00	Facility		$15.14	$15.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $25.12	Professional		$19.05	$20.42	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.42	Professional		$15.14	$15.14	$20.42