Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $54.95	Professional		$20.89	$38.02	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $141.25	Professional		$38.02	$57.54	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $38.90	Professional		$15.49	$19.95	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.90 / $48.98	Facility		$16.22	$30.90	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $31.62 / $48.98	Facility		$16.22	$31.62	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $251.19	Professional		$15.14	$32.36	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $95.50	Professional		$22.91	$40.74	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $251.19	Facility		$54.95	$54.95	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $251.19	Professional		$107.15	$251.19	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $69.18 / $77.62	Professional		$19.95	$69.18	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $208.93	Facility		$158.49	$158.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $61.66	Professional		$15.14	$28.18	$61.66