Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $91.20	Facility		$25.70	$25.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $39.81	Professional		$20.89	$25.12	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $79.43	Professional		$24.55	$34.67	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $120.23	Facility		$64.57	$74.13	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $53.70 / $77.62	Professional		$26.30	$53.70	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $50.12	Facility		$22.39	$27.54	$50.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $72.44	Professional		$41.69	$50.12	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.18 / $56.23	Facility		$22.39	$28.18	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $177.83	Professional		$25.12	$45.71	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $81.28	Professional		$28.84	$57.54	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $154.88 / $154.88	Facility		$56.23	$154.88	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $125.89 / $177.83	Professional		$26.30	$125.89	$177.83
Security Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $85.11	Professional		$38.90	$50.12	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $75.86	Professional		$23.99	$35.48	$75.86