Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $54.95	Facility		$19.05	$19.05	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $28.84	Professional		$14.13	$20.89	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $56.23	Facility		$33.88	$33.88	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $36.31	Professional		$31.62	$31.62	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $165.96	Facility		$89.13	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $39.81 / $64.57	Professional		$13.49	$39.81	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $34.67	Facility		$18.62	$24.55	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $69.18	Professional		$30.20	$54.95	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $67.61	Facility		$18.62	$26.92	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $165.96	Professional		$14.13	$16.60	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $70.79	Professional		$21.38	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $89.13	Professional		$33.88	$51.29	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $158.49	Facility		$67.61	$67.61	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $165.96	Professional		$13.49	$18.20	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $26.92	Professional		$10.96	$16.60	$26.92