Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $38.90	Facility		$33.11	$33.11	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $47.86	Professional		$25.70	$35.48	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $93.33	Professional		$26.92	$39.81	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $158.49	Facility		$75.86	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $83.18	Professional		$28.84	$38.02	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $58.88	Facility		$26.92	$38.02	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $87.10	Professional		$46.77	$66.07	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $61.66	Facility		$26.92	$38.90	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $199.53	Professional		$25.70	$51.29	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $95.50	Professional		$34.67	$57.54	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $173.78	Facility		$61.66	$61.66	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $199.53	Professional		$28.84	$64.57	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $52.48 / $112.20	Professional		$20.89	$52.48	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $83.18	Professional		$25.70	$38.02	$83.18