Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.38 / $21.38	Facility		$20.89	$21.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $26.30	Professional		$20.89	$21.38	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $52.48	Facility		$43.65	$50.12	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Professional		$21.88	$21.88	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $85.11	Facility		$22.39	$35.48	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $42.66	Professional		$22.39	$23.99	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $26.30	Facility		$21.38	$22.39	$26.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Professional		$35.48	$35.48	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $26.30	Facility		$21.38	$22.39	$26.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $100.00	Professional		$21.88	$24.55	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $85.11	Professional		$23.44	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $61.66	Professional		$52.48	$61.66	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $117.49	Facility		$22.39	$22.39	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $120.23	Professional		$22.39	$28.18	$120.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $26.30	Professional		$21.88	$23.44	$26.30