Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $57.54	Professional		$18.20	$22.91	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $72.44 / $158.49	Professional		$10.72	$72.44	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $141.25	Facility		$85.11	$95.50	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $66.07	Professional		$11.48	$28.18	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $75.86	Facility		$19.95	$30.90	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $81.28	Professional		$58.88	$64.57	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $75.86	Facility		$19.95	$30.20	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $42.66 / $165.96	Professional		$20.42	$42.66	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $77.62	Professional		$33.88	$53.70	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $138.04	Facility		$40.74	$40.74	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.88 / $165.96	Professional		$11.48	$33.88	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $154.88	Professional		$63.10	$112.20	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $72.44	Professional		$15.85	$25.12	$72.44