Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.75 / $11.75	Facility		$10.96	$11.75	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $16.60	Professional		$10.96	$11.75	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $27.54	Professional		$14.45	$14.45	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.90 / $53.70	Facility		$14.45	$30.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $19.05	Professional		$15.14	$16.98	$19.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $14.45	Facility		$11.75	$14.45	$14.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $21.88	Professional		$7.76	$7.76	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $14.45	Facility		$11.75	$14.45	$14.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.20	Professional		$14.45	$14.45	$18.20
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 Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $194.98	Professional		$104.71	$104.71	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.95	Professional		$14.45	$14.45	$19.95