Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $199.53	Facility		$25.12	$38.90	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $79.43	Professional		$12.88	$18.20	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $128.82	Professional		$14.79	$25.12	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $77.62 / $91.20	Professional		$28.84	$77.62	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $107.15	Facility		$16.60	$25.12	$107.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $52.48	Professional		$37.15	$40.74	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $107.15	Facility		$16.22	$25.12	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $69.18 / $645.65	Professional		$17.38	$69.18	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $69.18	Professional		$30.20	$54.95	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.13 / $331.13	Facility		$100.00	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $288.40 / $645.65	Professional		$30.20	$288.40	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $128.82	Professional		$48.98	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $138.04	Professional		$15.85	$38.90	$138.04