Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Facility		$12.02	$12.02	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $128.82	Professional		$13.18	$13.80	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $47.86	Facility		$13.18	$19.95	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $17.38	Professional		$13.18	$15.14	$17.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $16.22	Facility		$12.88	$12.88	$16.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.24 / $4.47	Professional		$2.88	$3.24	$4.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $23.44	Facility		$12.88	$12.88	$23.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
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 Facility Modifier Low / Median / High Price $13.18 / $13.18 / $64.57	Facility		$13.18	$13.18	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.14	Professional		$13.18	$13.18	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60