Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $30.90	Facility		$10.72	$15.49	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.80	Professional		$10.00	$10.00	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $23.44	Facility		$12.88	$12.88	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.18	Professional		$10.47	$10.47	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $28.84	Facility		$10.47	$15.85	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $21.38	Professional		$10.47	$10.96	$21.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $14.45	Facility		$10.47	$10.47	$14.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $28.84	Professional		$10.00	$20.89	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $15.14	Facility		$10.47	$10.47	$15.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.48 / $794.33	Professional		$10.47	$11.48	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $30.90	Professional		$10.47	$16.60	$30.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $100.00	Facility		$10.47	$10.47	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.05 / $794.33	Professional		$10.47	$19.05	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $17.38	Professional		$11.75	$14.13	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $12.02	Professional		$10.47	$10.96	$12.02