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 $14.13 / $23.99 / $33.11	Professional		$14.13	$23.99	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.20 / $117.49	Professional		$15.85	$30.20	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $74.13	Professional		$45.71	$64.57	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $70.79	Facility		$14.45	$26.92	$70.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $31.62 / $81.28	Facility		$15.14	$31.62	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $27.54 / $199.53	Professional		$3.16	$27.54	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $158.49	Professional		$53.70	$112.20	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $199.53	Facility		$95.50	$199.53	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $223.87	Professional		$173.78	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $263.03	Professional		$100.00	$251.19	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $25.12 / $60.26	Professional		$4.79	$25.12	$60.26