Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $14.13	Professional		$6.03	$10.96	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.95	Professional		$16.60	$16.60	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $75.86	Facility		$46.77	$54.95	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $25.12 / $33.11	Professional		$6.76	$25.12	$33.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.45 / $17.38	Facility		$11.48	$14.45	$17.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $28.84	Professional		$15.85	$20.89	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $26.92	Facility		$12.59	$15.14	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.32 / $15.85	Professional		$5.50	$8.32	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.30 / $41.69	Professional		$15.49	$26.30	$41.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $89.13	Facility		$35.48	$35.48	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $26.30 / $125.89	Professional		$6.76	$26.30	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $12.88	Professional		$5.50	$7.94	$12.88