Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $19.50	Facility		$19.05	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $28.18	Professional		$19.05	$19.05	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $22.39	Professional		$19.50	$19.50	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $44.67 / $77.62	Facility		$21.38	$44.67	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $53.70	Professional		$21.88	$27.54	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.88 / $39.81	Facility		$19.50	$21.88	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $39.81	Facility		$14.79	$21.88	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $33.88	Professional		$22.91	$22.91	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $64.57 / $85.11	Professional		$15.14	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $53.70	Professional		$30.20	$32.36	$53.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $89.13	Facility		$21.38	$21.38	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $36.31	Professional		$29.51	$29.51	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $37.15	Professional		$22.91	$22.91	$37.15