Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $47.86 / $114.82	Facility		$24.55	$47.86	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $40.74	Professional		$22.91	$22.91	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $100.00	Facility		$23.99	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $43.65	Professional		$23.99	$30.20	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $56.23	Facility		$25.12	$25.12	$56.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $50.12 / $50.12	Professional		$2.40	$50.12	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $43.65	Professional		$26.92	$26.92	$43.65
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 $23.99 / $25.70 / $75.86	Professional		$23.99	$25.70	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $134.90	Facility		$23.99	$23.99	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $35.48	Professional		$23.99	$23.99	$35.48