Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $407.38	Professional		$19.05	$19.05	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $70.79	Professional		$8.13	$8.13	$70.79
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 $34.67 / $45.71 / $74.13	Professional		$34.67	$45.71	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $43.65	Facility		$26.92	$26.92	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $27.54 / $199.53	Facility		$26.92	$27.54	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $61.66	Professional		$12.02	$14.13	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $79.43	Professional		$30.90	$56.23	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Facility		$50.12	$50.12	$151.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $19.50	Facility		$12.02	$19.05	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $44.67	Professional		$10.00	$13.80	$44.67