Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.88	Professional		$6.03	$7.08	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.92 / $27.54	Professional		$13.80	$26.92	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $67.61	Facility		$28.84	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $22.91	Professional		$16.98	$19.05	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $16.98	Facility		$6.76	$10.23	$16.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $40.74 / $56.23	Professional		$14.45	$40.74	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.18 / $89.13	Facility		$6.76	$13.18	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $20.89	Professional		$7.76	$10.72	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $43.65	Professional		$17.38	$31.62	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $89.13	Facility		$25.12	$28.84	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $97.72	Professional		$20.89	$28.84	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $22.39	Professional		$19.05	$21.88	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.33 / $16.22	Facility		$8.71	$9.33	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $15.14	Professional		$6.03	$8.32	$15.14