Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $131.83	Professional		$102.33	$128.82	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $30.90 / $54.95	Facility		$7.94	$30.90	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $125.89 / $125.89	Facility		$8.32	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Facility		$125.89	$125.89	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $31.62	Professional		$23.99	$28.18	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.22	Professional		$10.96	$10.96	$11.22