Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $50.12	Professional		$16.98	$25.70	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $44.67 / $123.03	Professional		$12.59	$44.67	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $75.86 / $112.20	Facility		$67.61	$75.86	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $75.86	Professional		$19.50	$32.36	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $151.36	Facility		$19.95	$38.90	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $147.91	Professional		$131.83	$131.83	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $169.82	Facility		$19.95	$38.90	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $31.62 / $316.23	Professional		$13.49	$31.62	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $50.12 / $70.79	Professional		$19.95	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Professional		$70.79	$93.33	$134.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $181.97	Facility		$44.67	$44.67	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $112.20 / $316.23	Professional		$19.50	$112.20	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $47.86	Professional		$22.91	$22.91	$47.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $89.13 / $147.91	Professional		$22.91	$89.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $72.44	Professional		$13.49	$22.39	$72.44