Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $56.23	Facility		$19.05	$28.18	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $56.23	Professional		$18.20	$18.62	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $41.69	Facility		$23.44	$23.44	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Professional		$18.62	$18.62	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $64.57	Facility		$18.62	$37.15	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $34.67	Professional		$19.05	$23.44	$34.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $40.74	Facility		$17.38	$18.20	$40.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $36.31	Professional		$27.54	$36.31	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $58.88	Facility		$17.38	$18.20	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Professional		$18.20	$18.20	$28.84
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 $18.62 / $19.95 / $58.88	Professional		$18.62	$19.95	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $91.20	Facility		$18.62	$18.62	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $30.90	Professional		$23.44	$25.12	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.62	Facility		$18.20	$18.20	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Professional		$18.62	$18.62	$26.30