Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $208.93	Professional		$30.90	$54.95	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $147.91	Facility		$91.20	$107.15	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $61.66	Professional		$38.90	$47.86	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $51.29	Facility		$26.92	$30.90	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $85.11	Facility		$26.30	$31.62	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $120.23	Professional		$21.38	$35.48	$120.23
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 $39.81 / $74.13 / $117.49	Professional		$39.81	$74.13	$117.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $208.93	Facility		$81.28	$81.28	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $208.93	Professional		$58.88	$147.91	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $104.71	Professional		$74.13	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $79.43	Professional		$21.38	$33.88	$79.43