Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Professional		$26.92	$26.92	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $79.43	Professional		$35.48	$57.54	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $107.15	Facility		$28.84	$63.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $53.70	Professional		$30.90	$38.02	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $30.20	Facility		$26.92	$30.20	$30.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $44.67	Professional		$25.70	$25.70	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $30.20	Facility		$26.92	$30.20	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Professional		$28.18	$28.18	$38.90
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 $67.61 / $79.43 / $79.43	Professional		$67.61	$79.43	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $151.36	Facility		$28.84	$28.84	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77