Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $114.82	Facility		$51.29	$51.29	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Professional		$51.29	$51.29	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $69.18	Professional		$51.29	$53.70	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $128.82	Facility		$47.86	$74.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $64.57	Professional		$36.31	$54.95	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $51.29	Facility		$19.95	$35.48	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $53.70	Professional		$6.92	$6.92	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $51.29	Facility		$19.95	$35.48	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $70.79	Professional		$53.70	$53.70	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $85.11	Professional		$35.48	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $48.98	Professional		$12.02	$24.55	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $194.98	Facility		$54.95	$54.95	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $58.88	Professional		$38.02	$47.86	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Professional		$53.70	$53.70	$74.13