Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $16.98	Professional		$12.88	$14.13	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $26.30	Professional		$16.98	$16.98	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $35.48 / $61.66	Facility		$16.98	$35.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $33.88	Professional		$16.98	$21.88	$33.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $20.42	Facility		$13.49	$14.45	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.98 / $89.13	Facility		$13.49	$16.98	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $70.79 / $100.00	Facility		$16.98	$70.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78