Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $57.54	Professional		$18.20	$23.99	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $44.67 / $120.23	Professional		$11.48	$44.67	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $123.03	Facility		$74.13	$83.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.88 / $77.62	Professional		$13.49	$33.88	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $87.10	Facility		$17.78	$27.54	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $109.65	Facility		$17.78	$27.54	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.62 / $165.96	Professional		$16.60	$31.62	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $64.57 / $85.11	Professional		$26.30	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $79.43	Professional		$36.31	$54.95	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $109.65	Facility		$45.71	$45.71	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $158.49 / $165.96	Professional		$13.49	$158.49	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $48.98	Professional		$20.89	$20.89	$48.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $81.28 / $131.83	Professional		$20.89	$81.28	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $74.13	Professional		$14.45	$22.91	$74.13