Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.62 / $87.10	Facility		$18.20	$18.62	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $40.74	Professional		$18.20	$20.89	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $40.74	Facility		$33.88	$39.81	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Professional		$19.95	$19.95	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $75.86	Facility		$20.42	$43.65	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $53.70	Professional		$21.38	$26.30	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $20.89 / $31.62	Facility		$18.62	$20.89	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $20.89	Facility		$16.60	$20.89	$20.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $33.11	Professional		$20.89	$21.88	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $44.67	Professional		$30.20	$33.11	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $89.13	Facility		$20.42	$20.42	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $34.67	Professional		$23.99	$28.18	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $33.88	Professional		$20.89	$21.88	$33.88