Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $51.29	Facility		$21.88	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $21.88	Professional		$12.88	$15.14	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $64.57	Professional		$1.78	$2.09	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $95.50	Facility		$51.29	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $57.54	Professional		$21.38	$26.92	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $64.57 / $109.65	Facility		$9.77	$64.57	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $17.38 / $89.13	Facility		$9.77	$17.38	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $33.88	Professional		$9.33	$11.22	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $85.11	Professional		$28.18	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $61.66	Professional		$23.99	$42.66	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $89.13	Facility		$37.15	$37.15	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $141.25	Professional		$53.70	$102.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $22.39	Facility		$14.79	$14.79	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $36.31	Professional		$7.76	$11.22	$36.31