Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $33.88	Facility		$11.48	$16.60	$33.88
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 $14.13 / $14.13 / $25.12	Facility		$14.13	$14.13	$25.12
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 / $23.44 / $40.74	Facility		$11.22	$23.44	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.89	Professional		$11.22	$14.13	$20.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.96 / $10.96	Facility		$5.37	$10.96	$10.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $21.88 / $21.88	Professional		$3.47	$21.88	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.96 / $10.96	Facility		$5.37	$10.96	$10.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $17.38	Professional		$10.96	$10.96	$17.38
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 $11.22 / $12.02 / $33.11	Professional		$11.22	$12.02	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $100.00	Facility		$11.22	$11.22	$100.00
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 / $14.45 / $17.78	Professional		$11.75	$14.45	$17.78
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 / $15.85	Professional		$11.22	$11.22	$15.85