Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $63.10 / $63.10	Facility		$18.20	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $23.99	Professional		$12.88	$16.98	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $57.54	Professional		$15.85	$24.55	$57.54
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 $16.98 / $35.48 / $50.12	Professional		$16.98	$35.48	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $30.90	Facility		$14.79	$18.62	$30.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $48.98	Professional		$30.20	$35.48	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $34.67	Facility		$15.49	$18.62	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $134.90	Professional		$15.85	$25.70	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $58.88	Professional		$27.54	$40.74	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $109.65	Facility		$39.81	$39.81	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $77.62 / $134.90	Professional		$16.22	$77.62	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $60.26	Professional		$20.89	$28.18	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $47.86	Professional		$15.49	$21.88	$47.86