Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $38.02	Professional		$19.05	$26.92	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $75.86	Facility		$45.71	$45.71	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $51.29	Professional		$41.69	$42.66	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $141.25 / $229.09	Facility		$28.84	$141.25	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $66.07 / $87.10	Professional		$21.38	$66.07	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $58.88	Facility		$19.95	$38.02	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $83.18	Professional		$39.81	$69.18	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $213.80	Facility		$24.55	$45.71	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $50.12	Professional		$19.50	$25.70	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $70.79	Professional		$27.54	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $128.82	Professional		$45.71	$69.18	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $91.20 / $213.80	Facility		$28.84	$91.20	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $50.12 / $223.87	Professional		$21.38	$50.12	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $33.88	Facility		$22.39	$30.90	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $39.81	Professional		$15.85	$21.38	$39.81