Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $47.86	Facility		$19.95	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $19.95	Professional		$12.02	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $58.88	Professional		$7.59	$7.59	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $53.70	Professional		$19.95	$43.65	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $72.44 / $109.65	Facility		$19.05	$72.44	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $114.82	Professional		$17.38	$17.38	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $60.26	Facility		$15.49	$20.42	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $61.66	Professional		$8.71	$10.23	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $64.57 / $85.11	Professional		$17.38	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $57.54	Professional		$28.18	$40.74	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $81.28	Facility		$34.67	$81.28	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $85.11 / $85.11	Professional		$25.12	$85.11	$85.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $131.83	Professional		$50.12	$93.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $20.42	Facility		$13.80	$13.80	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $28.18	Professional		$7.24	$10.23	$28.18