Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.30 / $26.30	Facility		$25.70	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $69.18	Professional		$21.88	$26.92	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.86 / $83.18	Facility		$27.54	$47.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $41.69	Professional		$23.44	$28.84	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $45.71	Facility		$21.38	$26.30	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $45.71	Facility		$21.38	$26.30	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $74.13	Professional		$27.54	$50.12	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $120.23	Facility		$27.54	$27.54	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $72.44	Professional		$38.90	$38.90	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $38.90	Professional		$26.92	$28.84	$38.90