Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $32.36	Professional		$15.85	$19.95	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $70.79	Professional		$18.20	$33.88	$70.79
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 $23.44 / $47.86 / $61.66	Professional		$23.44	$47.86	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $32.36 / $45.71	Facility		$24.55	$32.36	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $32.36 / $45.71	Facility		$24.55	$32.36	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $66.07	Professional		$20.89	$38.90	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $70.79	Professional		$35.48	$51.29	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $125.89	Facility		$51.29	$125.89	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $61.66	Professional		$47.86	$47.86	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $69.18	Professional		$41.69	$41.69	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $67.61	Professional		$20.89	$36.31	$67.61