Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $79.43	Facility		$19.05	$19.05	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $97.72	Professional		$16.98	$57.54	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $89.13 / $245.47	Professional		$29.51	$89.13	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $467.74	Facility		$380.19	$380.19	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $58.88 / $190.55	Professional		$19.95	$58.88	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $67.61 / $204.17	Facility		$19.50	$67.61	$204.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $234.42	Professional		$38.90	$63.10	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $67.61 / $204.17	Facility		$19.05	$67.61	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $549.54	Professional		$67.61	$107.15	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $263.03	Professional		$27.54	$61.66	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $169.82 / $549.54	Professional		$23.99	$169.82	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $104.71	Professional		$25.70	$25.70	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $302.00	Professional		$47.86	$125.89	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $54.95 / $134.90	Professional		$20.42	$54.95	$134.90