Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $67.61	Facility		$23.44	$33.88	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $30.90	Professional		$21.88	$22.39	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Facility		$28.18	$28.18	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $28.84	Professional		$22.39	$22.39	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $74.13	Facility		$21.38	$31.62	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $41.69	Professional		$22.39	$23.44	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $25.12	Facility		$22.39	$22.39	$25.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $44.67	Professional		$23.44	$44.67	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $25.70	Facility		$22.39	$22.39	$25.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $95.50	Professional		$22.39	$24.55	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $58.88 / $70.79	Professional		$22.39	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $67.61	Professional		$22.39	$35.48	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $112.20	Facility		$21.38	$22.39	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $95.50	Professional		$22.39	$25.70	$95.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $37.15	Professional		$26.92	$30.90	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $26.30	Professional		$22.39	$23.99	$26.30