Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $30.20	Facility		$10.00	$15.14	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $22.39	Facility		$12.59	$12.59	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.88	Professional		$10.00	$10.00	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $37.15	Facility		$10.00	$21.38	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $18.62	Professional		$10.23	$12.88	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $22.91	Facility		$10.23	$10.23	$22.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $20.42	Professional		$15.49	$20.42	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $21.88	Facility		$10.23	$10.23	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.22	Professional		$10.23	$10.23	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $85.11	Professional		$10.00	$10.00	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $30.90	Professional		$10.00	$11.48	$30.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $128.82	Facility		$10.00	$10.00	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.23 / $10.23	Facility		$10.00	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.14	Professional		$10.00	$10.00	$15.14