Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $37.15	Facility		$12.88	$18.62	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $25.12	Professional		$12.02	$12.02	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $16.22	Professional		$12.59	$12.59	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $38.90 / $57.54	Facility		$12.59	$38.90	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $22.91	Professional		$12.59	$20.42	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $36.31	Facility		$16.22	$16.22	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $42.66	Professional		$24.55	$32.36	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.62 / $141.25	Facility		$14.45	$18.62	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $32.36	Professional		$12.30	$14.45	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $54.95 / $85.11	Professional		$17.78	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $57.54	Professional		$12.59	$18.20	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $85.11 / $141.25	Facility		$12.59	$85.11	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.88	Professional		$10.47	$10.47	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.89 / $14.79	Facility		$0.15	$5.89	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $19.95	Professional		$5.01	$12.59	$19.95