Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $25.70 / $64.57	Professional		$3.02	$25.70	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $48.98	Professional		$15.85	$19.05	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Facility		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $61.66	Professional		$28.18	$38.02	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $18.62 / $34.67	Facility		$4.37	$18.62	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $31.62 / $181.97	Facility		$4.37	$31.62	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $52.48	Professional		$13.80	$24.55	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $85.11	Professional		$29.51	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $57.54	Professional		$26.92	$41.69	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $104.71 / $104.71	Facility		$38.90	$104.71	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $46.77	Professional		$15.49	$15.49	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Security Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Facility		$18.20	$21.88	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $57.54 / $57.54	Professional		$22.39	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $251.19	Facility		$190.55	$190.55	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $45.71	Professional		$13.49	$22.39	$45.71