Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $48.98	Facility		$20.89	$20.89	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $36.31	Professional		$20.89	$20.89	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $47.86	Facility		$38.90	$45.71	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $44.67 / $75.86	Facility		$28.18	$44.67	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $41.69	Professional		$21.88	$28.18	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $46.77	Facility		$19.05	$21.38	$46.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $46.77	Facility		$19.05	$21.38	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $31.62	Professional		$21.38	$21.38	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $64.57	Professional		$19.50	$21.38	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $70.79	Professional		$21.38	$42.66	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $112.20	Facility		$28.18	$28.18	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $35.48	Professional		$26.30	$28.84	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $31.62	Professional		$21.38	$21.38	$31.62