Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $74.13	Facility		$19.95	$19.95	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $31.62	Professional		$15.14	$19.05	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $61.66	Professional		$18.20	$26.30	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $60.26	Professional		$20.42	$43.65	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $36.31	Facility		$16.98	$20.89	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $57.54	Professional		$34.67	$40.74	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $41.69	Facility		$16.60	$20.89	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $120.23	Professional		$19.05	$30.20	$120.23
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 $25.70 / $47.86 / $70.79	Professional		$25.70	$47.86	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $120.23 / $120.23	Facility		$45.71	$120.23	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $67.61 / $120.23	Professional		$19.50	$67.61	$120.23
Security Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $40.74	Professional		$22.39	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $47.86	Professional		$19.05	$26.30	$47.86