Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $316.23	Professional		$19.05	$19.05	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $70.79	Professional		$3.16	$3.16	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $37.15	Facility		$19.95	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $74.13	Professional		$9.12	$11.75	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $43.65	Facility		$17.38	$17.38	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.38 / $112.20	Facility		$8.13	$17.38	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $42.66	Professional		$12.02	$13.80	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $79.43	Professional		$26.92	$54.95	$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 $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
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