Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $38.90	Professional		$19.95	$25.70	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $125.89	Professional		$14.79	$14.79	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $120.23	Facility		$64.57	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $44.67 / $112.20	Professional		$16.60	$44.67	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.18 / $41.69	Facility		$10.72	$28.18	$41.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $61.66	Professional		$20.89	$24.55	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.18 / $58.88	Facility		$10.72	$28.18	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $223.87	Professional		$10.00	$20.89	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $58.88 / $70.79	Professional		$11.22	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $107.15	Professional		$37.15	$58.88	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $223.87 / $223.87	Facility		$46.77	$223.87	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $173.78 / $223.87	Professional		$16.60	$173.78	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $100.00	Professional		$23.99	$23.99	$100.00
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 $9.77 / $15.49 / $37.15	Professional		$9.77	$15.49	$37.15