Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $54.95	Professional		$25.70	$38.90	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $66.07 / $204.17	Professional		$17.78	$66.07	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $162.18 / $234.42	Facility		$141.25	$162.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $134.90	Professional		$22.91	$48.98	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $131.83	Facility		$39.81	$52.48	$131.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $295.12	Professional		$263.03	$263.03	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $154.88	Facility		$39.81	$52.48	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $218.78	Professional		$16.60	$26.30	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $154.88	Professional		$75.86	$104.71	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $208.93	Facility		$87.10	$87.10	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $218.78 / $218.78	Professional		$22.91	$218.78	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $93.33	Professional		$21.88	$21.88	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $239.88 / $295.12	Professional		$75.86	$239.88	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.30 / $63.10	Professional		$15.14	$26.30	$63.10