Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $32.36	Facility		$10.96	$16.22	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $18.20	Professional		$10.00	$10.00	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $23.99	Facility		$13.49	$13.49	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $13.80	Professional		$10.72	$10.72	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $20.89 / $36.31	Facility		$10.72	$20.89	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $19.95	Professional		$10.96	$13.80	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.72 / $23.44	Facility		$7.59	$10.72	$23.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $21.38	Professional		$16.22	$21.38	$21.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.72 / $23.44	Facility		$7.59	$10.72	$23.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $17.38	Professional		$10.72	$10.72	$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 $10.72 / $10.72 / $32.36	Professional		$10.72	$10.72	$32.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $85.11	Facility		$10.72	$10.72	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $17.78	Professional		$10.23	$14.45	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.72	Facility		$10.47	$10.47	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $15.85	Professional		$10.72	$10.72	$15.85