Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $52.48	Facility		$18.20	$26.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $30.20	Professional		$16.98	$17.78	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $38.90	Facility		$21.88	$21.88	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $22.39	Professional		$17.78	$17.78	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $36.31 / $63.10	Facility		$17.78	$36.31	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $32.36	Professional		$17.78	$22.39	$32.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $213.80	Facility		$17.78	$17.78	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $125.89	Professional		$26.30	$35.48	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $213.80	Facility		$17.38	$17.38	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $35.48	Professional		$17.38	$17.38	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $85.11	Professional		$17.38	$17.78	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $52.48	Professional		$17.78	$19.50	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $263.03	Facility		$17.78	$17.78	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Professional		$24.55	$24.55	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.78	Facility		$17.38	$17.38	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $28.18	Professional		$17.78	$17.78	$28.18