Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.18	Professional		$15.14	$19.05	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $93.33	Professional		$10.72	$10.72	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $83.18	Professional		$12.30	$33.11	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $30.90	Facility		$13.80	$21.38	$30.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $67.61	Professional		$21.88	$25.70	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $41.69	Facility		$14.79	$21.88	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $162.18	Professional		$7.76	$15.14	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $58.88 / $70.79	Professional		$20.42	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $97.72	Professional		$27.54	$43.65	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $162.18 / $162.18	Facility		$34.67	$162.18	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $125.89 / $162.18	Professional		$12.59	$125.89	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
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 $7.59 / $11.48 / $27.54	Professional		$7.59	$11.48	$27.54