Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.70	Professional		$14.13	$19.95	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $50.12	Professional		$15.14	$20.89	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $83.18	Facility		$39.81	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $45.71	Professional		$15.14	$19.95	$45.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.42 / $31.62	Facility		$14.79	$20.42	$31.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $46.77	Professional		$25.12	$35.48	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.42 / $33.11	Facility		$15.14	$20.42	$33.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $107.15	Professional		$13.49	$26.92	$107.15
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 $19.05 / $31.62 / $51.29	Professional		$19.05	$31.62	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $95.50	Facility		$32.36	$32.36	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $35.48 / $107.15	Professional		$15.14	$35.48	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $58.88	Professional		$20.89	$28.18	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $44.67	Professional		$13.80	$20.42	$44.67