Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $36.31	Facility		$12.59	$18.20	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $20.42	Professional		$12.02	$12.02	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $26.92	Facility		$15.14	$15.14	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.12 / $43.65	Facility		$12.02	$25.12	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $22.39	Professional		$12.30	$15.49	$22.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $24.55	Professional		$18.20	$24.55	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.50	Professional		$12.02	$12.02	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $64.57 / $85.11	Professional		$12.02	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $38.90	Professional		$12.02	$13.18	$38.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $85.11	Facility		$12.02	$12.02	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
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 $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.60	Professional		$12.02	$12.02	$16.60