Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $18.20	Professional		$10.96	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $43.65 / $43.65	Facility		$23.99	$43.65	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $30.20	Professional		$19.05	$23.99	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.22 / $95.50	Facility		$15.14	$16.22	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $45.71	Professional		$15.14	$28.84	$45.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $17.38 / $27.54	Facility		$7.41	$17.38	$27.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $23.44 / $109.65	Facility		$7.41	$23.44	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $21.88	Professional		$9.77	$13.49	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $50.12 / $64.57	Professional		$9.77	$50.12	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.37 / $7.41	Professional		$3.16	$5.37	$7.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $47.86 / $109.65	Facility		$15.14	$47.86	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $18.20	Professional		$12.88	$15.14	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $9.77 / $17.78	Facility		$1.17	$9.77	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $23.99	Professional		$9.12	$12.88	$23.99