Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $64.57 / $107.15	Facility		$16.22	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $66.07	Professional		$19.95	$26.92	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $43.65	Facility		$36.31	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Professional		$20.89	$20.89	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $46.77 / $81.28	Facility		$21.88	$46.77	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $57.54	Professional		$22.91	$28.18	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $34.67	Facility		$19.95	$22.39	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $38.02	Facility		$19.95	$22.39	$38.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $35.48	Professional		$22.39	$23.44	$35.48
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 / $35.48 / $47.86	Professional		$30.20	$35.48	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $89.13	Facility		$21.88	$21.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $37.15	Professional		$26.30	$30.20	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $36.31	Professional		$22.39	$23.44	$36.31