Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $58.88	Professional		$33.88	$33.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $41.69 / $100.00	Facility		$40.74	$41.69	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $70.79	Professional		$40.74	$40.74	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $85.11	Facility		$38.02	$45.71	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $48.98 / $93.33	Facility		$38.02	$48.98	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $112.20	Professional		$33.88	$46.77	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $131.83	Professional		$64.57	$93.33	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $218.78 / $218.78	Facility		$77.62	$218.78	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Security Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $42.66 / $54.95	Facility		$39.81	$42.66	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $60.26	Professional		$43.65	$54.95	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Facility		$95.50	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $112.20	Professional		$33.88	$41.69	$112.20