Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $56.23	Facility		$20.89	$50.12	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $33.11	Professional		$19.05	$21.88	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $81.28	Professional		$21.88	$38.02	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $109.65	Facility		$58.88	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $64.57	Professional		$20.89	$40.74	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.70 / $60.26	Facility		$19.95	$25.70	$60.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $58.88	Professional		$36.31	$45.71	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $60.26	Facility		$19.95	$26.30	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $128.82	Professional		$21.38	$38.02	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $70.79	Professional		$28.84	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $75.86	Professional		$33.11	$51.29	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $128.82	Facility		$45.71	$45.71	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $144.54	Professional		$19.50	$33.11	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $27.54	Professional		$24.55	$24.55	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $77.62	Professional		$33.11	$50.12	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $75.86	Professional		$20.42	$31.62	$75.86