Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $30.20	Professional		$15.14	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.70 / $44.67	Facility		$11.75	$25.70	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $41.69	Professional		$11.75	$15.14	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.30 / $21.88	Facility		$10.72	$12.30	$21.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.85	Professional		$13.18	$13.18	$15.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.02 / $30.20	Facility		$11.75	$12.02	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $24.55	Professional		$11.75	$11.75	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $162.18 / $416.87	Professional		$11.75	$162.18	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $85.11 / $100.00	Facility		$11.75	$85.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $1,584.89	Professional		$11.75	$13.49	$1,584.89
Security Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Facility		$257.04	$257.04	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $257.04	Professional		$12.88	$16.22	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $107.15 / $125.89	Professional		$30.20	$107.15	$125.89