Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $64.57	Facility		$30.20	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $42.66	Professional		$26.92	$30.20	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $93.33	Professional		$32.36	$47.86	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $169.82	Facility		$91.20	$107.15	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $100.00	Professional		$48.98	$89.13	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.11 / $48.98	Facility		$28.18	$33.11	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $104.71	Professional		$44.67	$72.44	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $54.95	Facility		$28.84	$34.67	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $588.84	Professional		$38.90	$63.10	$588.84
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 $33.88 / $54.95 / $100.00	Professional		$33.88	$54.95	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $489.78	Facility		$66.07	$66.07	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $181.97 / $588.84	Professional		$42.66	$181.97	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $72.44	Professional		$42.66	$64.57	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $100.00	Professional		$37.15	$54.95	$100.00