Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $42.66 / $63.10	Professional		$14.13	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $63.10 / $229.09	Professional		$20.42	$63.10	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $269.15	Facility		$162.18	$186.21	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $74.13 / $169.82	Professional		$23.99	$74.13	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $151.36	Facility		$38.90	$60.26	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $338.84	Professional		$302.00	$302.00	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $177.83	Facility		$38.90	$60.26	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $50.12 / $251.19	Professional		$14.79	$50.12	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $64.57 / $85.11	Professional		$16.60	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $120.23 / $173.78	Professional		$35.48	$120.23	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $239.88	Facility		$100.00	$100.00	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $251.19 / $251.19	Professional		$23.99	$251.19	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $107.15	Professional		$10.96	$10.96	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $41.69 / $275.42	Professional		$10.96	$41.69	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $46.77 / $107.15	Professional		$14.45	$46.77	$107.15