Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $61.66	Professional		$23.99	$23.99	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $54.95	Facility		$45.71	$52.48	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $100.00	Facility		$27.54	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $70.79	Professional		$28.18	$35.48	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $27.54 / $48.98	Facility		$25.12	$27.54	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $27.54 / $48.98	Facility		$25.12	$27.54	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $43.65	Professional		$27.54	$29.51	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $70.79	Professional		$30.20	$30.20	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $89.13	Facility		$27.54	$27.54	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $45.71	Professional		$36.31	$37.15	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $30.20	Facility		$27.54	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $45.71	Professional		$27.54	$29.51	$45.71