Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $26.30	Professional		$16.60	$16.98	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $66.07	Facility		$24.55	$44.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $31.62	Professional		$18.62	$25.12	$31.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $25.12	Facility		$16.98	$18.20	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $25.12	Facility		$16.98	$18.20	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $38.90	Professional		$25.70	$25.70	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $44.67	Professional		$15.14	$27.54	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $30.20	Professional		$21.88	$24.55	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $24.55 / $24.55	Facility		$22.91	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $42.66	Professional		$25.70	$25.70	$42.66