Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $63.10	Professional		$43.65	$43.65	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $91.20	Professional		$43.65	$60.26	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Facility		$46.77	$81.28	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $56.23	Professional		$39.81	$48.98	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $43.65	Facility		$21.38	$43.65	$43.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $64.57	Professional		$7.24	$7.24	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $46.77	Facility		$21.38	$43.65	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.30 / $51.29	Professional		$12.88	$26.30	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $234.42	Facility		$46.77	$46.77	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $72.44	Professional		$36.31	$58.88	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10