Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $42.66	Professional		$12.88	$23.99	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $38.02 / $125.89	Professional		$10.96	$38.02	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $147.91	Facility		$89.13	$100.00	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $39.81 / $93.33	Professional		$13.18	$39.81	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $83.18	Facility		$21.38	$33.11	$83.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $97.72	Facility		$21.38	$33.11	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $138.04	Professional		$14.79	$27.54	$138.04
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 $47.86 / $70.79 / $97.72	Professional		$47.86	$70.79	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $131.83	Facility		$54.95	$54.95	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $138.04 / $138.04	Professional		$13.18	$138.04	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $58.88	Professional		$10.96	$10.96	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $46.77 / $151.36	Professional		$10.96	$46.77	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $58.88	Professional		$14.45	$27.54	$58.88