Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $19.95	Professional		$12.02	$15.14	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $26.30 / $77.62	Professional		$5.89	$26.30	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $95.50	Facility		$56.23	$64.57	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $53.70	Professional		$7.94	$19.95	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $54.95	Facility		$15.49	$21.88	$54.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $120.23	Professional		$109.65	$109.65	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $63.10	Facility		$15.49	$21.88	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $91.20	Professional		$6.61	$9.77	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $58.88 / $85.11	Professional		$16.60	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $60.26	Professional		$31.62	$42.66	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $87.10	Facility		$36.31	$36.31	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $75.86 / $91.20	Professional		$7.94	$75.86	$91.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $33.88	Professional		$10.96	$10.96	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $93.33 / $100.00	Professional		$38.02	$93.33	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $26.30	Professional		$6.31	$9.12	$26.30