Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $40.74	Professional		$16.98	$26.92	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $95.50	Professional		$28.18	$45.71	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $141.25	Facility		$75.86	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $79.43	Professional		$32.36	$40.74	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $58.88	Facility		$17.78	$27.54	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.90 / $64.57	Facility		$18.62	$30.90	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $223.87	Professional		$26.30	$52.48	$223.87
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 $25.12 / $46.77 / $64.57	Professional		$25.12	$46.77	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $181.97 / $181.97	Facility		$50.12	$181.97	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $223.87	Professional		$123.03	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $223.87	Professional		$75.86	$173.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Facility		$77.62	$77.62	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $97.72	Professional		$26.30	$41.69	$97.72