Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $36.31	Facility		$20.89	$20.89	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $44.67	Professional		$19.05	$30.20	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $123.03	Professional		$29.51	$57.54	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $46.77 / $93.33	Professional		$21.38	$46.77	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $72.44	Facility		$21.38	$36.31	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $107.15	Professional		$40.74	$63.10	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $67.61	Facility		$20.89	$36.31	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $245.47	Professional		$37.15	$56.23	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $70.79	Professional		$15.85	$32.36	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $61.66 / $128.82	Professional		$24.55	$61.66	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $81.28 / $245.47	Professional		$25.12	$81.28	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $97.72	Professional		$33.88	$53.70	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $77.62	Professional		$22.39	$38.90	$77.62