Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $151.36	Facility		$15.14	$15.14	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.95	Professional		$10.00	$15.14	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $31.62	Facility		$19.50	$19.50	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $21.38	Professional		$17.78	$17.78	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $36.31	Professional		$21.38	$26.92	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $19.95	Facility		$15.14	$18.62	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $91.20	Facility		$15.14	$18.62	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.30 / $64.57	Professional		$10.47	$26.30	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $64.57 / $89.13	Professional		$11.75	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $58.88	Professional		$19.50	$33.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $93.33	Facility		$38.02	$93.33	$93.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $23.99 / $63.10	Professional		$7.24	$23.99	$63.10