Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $50.12	Professional		$19.95	$19.95	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $57.54	Professional		$56.23	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $117.49	Professional		$27.54	$34.67	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $36.31	Facility		$19.95	$19.95	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $104.71	Professional		$72.44	$81.28	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $89.13	Facility		$19.95	$29.51	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $28.84 / $28.84	Professional		$9.55	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $31.62	Professional		$26.92	$30.90	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $28.84	Professional		$19.95	$23.99	$28.84