Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $4,365.16	Facility		$30.90	$30.90	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $74.13	Professional		$38.02	$45.71	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $63.10 / $109.65	Facility		$30.20	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $93.33	Professional		$30.20	$38.90	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $67.61	Facility		$30.20	$30.90	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Professional		$33.88	$33.88	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $75.86	Facility		$30.20	$30.90	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $70.79	Professional		$30.90	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $162.18 / $416.87	Professional		$30.20	$162.18	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $134.90	Facility		$30.20	$85.11	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $2,187.76	Professional		$30.20	$33.88	$2,187.76
Security Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Facility		$257.04	$257.04	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $257.04	Professional		$34.67	$40.74	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $114.82 / $125.89	Professional		$45.71	$114.82	$125.89