Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $33.11	Facility		$11.48	$16.60	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $19.05	Professional		$10.96	$10.96	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $24.55	Facility		$13.80	$13.80	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.13	Professional		$11.22	$11.22	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.88 / $28.84	Facility		$11.22	$12.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.42	Professional		$11.22	$14.13	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.96 / $23.99	Facility		$8.71	$10.96	$23.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $21.88	Professional		$16.60	$21.88	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $23.44	Facility		$8.71	$10.47	$23.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.98	Professional		$10.47	$10.47	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.02 / $35.48	Professional		$11.22	$12.02	$35.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $85.11	Facility		$11.22	$11.22	$85.11
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 $11.75 / $15.49 / $19.05	Professional		$11.75	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $11.22	Facility		$10.47	$10.47	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Professional		$11.22	$11.22	$15.14