Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $117.49	Professional		$13.80	$13.80	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $114.82	Facility		$61.66	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $41.69 / $104.71	Professional		$15.49	$41.69	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.30 / $38.90	Facility		$14.13	$26.30	$38.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $60.26	Professional		$20.42	$23.99	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.30 / $51.29	Facility		$14.13	$26.30	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.50 / $204.17	Professional		$8.71	$19.50	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $100.00	Professional		$34.67	$53.70	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $204.17 / $204.17	Facility		$43.65	$204.17	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $162.18 / $204.17	Professional		$15.85	$162.18	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $89.13	Professional		$57.54	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $602.56	Facility		$114.82	$114.82	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $34.67	Professional		$8.71	$14.79	$34.67