Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $7,585.78	Facility		$12.59	$18.20	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $3,890.45	Professional		$12.02	$12.02	$3,890.45
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 / $14.13 / $30.90	Facility		$12.02	$14.13	$30.90
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 / $26.30	Facility		$12.02	$12.02	$26.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $23.99	Professional		$18.20	$23.99	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $29.51	Facility		$12.02	$12.02	$29.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.05	Professional		$12.02	$12.02	$19.05
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 $12.02 / $12.30 / $38.90	Professional		$12.02	$12.30	$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 $13.18 / $16.60 / $20.42	Professional		$13.18	$16.60	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.60	Professional		$12.02	$12.02	$16.60