Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $69.18 / $69.18	Facility		$30.20	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.20	Professional		$16.98	$19.95	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $100.00	Professional		$24.55	$28.84	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $79.43 / $128.82	Facility		$69.18	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $77.62	Professional		$28.18	$63.10	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $102.33 / $147.91	Facility		$25.70	$102.33	$147.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $165.96	Professional		$25.12	$25.12	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $87.10	Facility		$22.39	$32.36	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $89.13	Professional		$12.59	$15.14	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $58.88 / $70.79	Professional		$12.59	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $83.18	Professional		$39.81	$58.88	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $117.49	Facility		$50.12	$117.49	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $125.89 / $125.89	Professional		$36.31	$125.89	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $190.55	Professional		$72.44	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $30.20	Facility		$19.95	$19.95	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $41.69	Professional		$10.47	$15.14	$41.69