Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $67.61	Facility		$22.91	$22.91	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $34.67	Professional		$16.98	$25.70	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $69.18	Facility		$41.69	$41.69	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $44.67	Professional		$38.90	$38.90	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $204.17	Facility		$109.65	$128.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $79.43	Professional		$20.89	$58.88	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $42.66	Facility		$22.91	$30.20	$42.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $53.70	Professional		$37.15	$44.67	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $83.18	Facility		$22.91	$33.11	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $204.17	Professional		$17.38	$20.42	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $70.79	Professional		$26.30	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $109.65	Professional		$41.69	$63.10	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $194.98	Facility		$83.18	$83.18	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $61.66 / $204.17	Professional		$20.89	$61.66	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $33.11	Professional		$13.80	$20.42	$33.11