Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $42.66	Facility		$14.79	$21.38	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $31.62	Facility		$17.78	$17.78	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Professional		$14.13	$14.13	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $48.98	Facility		$14.13	$20.89	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.79 / $26.30	Professional		$14.13	$14.79	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.85	Facility		$14.45	$14.45	$15.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $28.84	Professional		$15.49	$28.84	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Facility		$14.13	$14.13	$16.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $61.66	Professional		$14.13	$15.85	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $70.79	Professional		$14.13	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $43.65	Professional		$14.13	$22.39	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $85.11	Facility		$14.13	$14.13	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $61.66	Professional		$14.13	$16.60	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.44	Professional		$19.05	$19.05	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.13	Facility		$13.80	$13.80	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $16.98	Professional		$14.13	$15.14	$16.98