Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $44.67 / $54.95	Facility		$23.99	$44.67	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $41.69	Professional		$15.14	$18.20	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $54.95	Facility		$42.66	$53.70	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $83.18	Professional		$10.00	$10.00	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $102.33	Facility		$54.95	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $63.10	Professional		$22.91	$47.86	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $100.00 / $158.49	Facility		$23.99	$100.00	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $70.79	Facility		$19.05	$26.92	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $204.17	Professional		$12.02	$16.98	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $70.79	Professional		$22.91	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $151.36 / $151.36	Facility		$50.12	$151.36	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $112.20 / $204.17	Professional		$23.99	$112.20	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $42.66	Professional		$20.42	$20.42	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $72.44 / $123.03	Professional		$20.42	$72.44	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Facility		$17.78	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.22 / $42.66	Professional		$8.51	$16.22	$42.66