Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $229.09 / $257.04	Professional		$2.14	$229.09	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.60 / $0.62	Facility		$0.52	$0.60	$0.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.50	Professional		$0.28	$0.28	$0.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.54 / $0.93	Facility		$0.28	$0.54	$0.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.33 / $0.51	Professional		$0.26	$0.33	$0.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $0.71	Facility		$0.30	$0.30	$0.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.71	Facility		$0.28	$0.28	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.32 / $0.43	Professional		$0.28	$0.32	$0.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $85.11	Professional		$0.28	$0.30	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.28 / $1.07	Professional		$0.21	$0.28	$1.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $85.11	Facility		$0.28	$0.28	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.93	Professional		$0.38	$0.38	$0.93
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.42	Professional		$0.28	$0.31	$0.42