Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $57.54	Professional		$25.12	$25.12	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $42.66 / $74.13	Facility		$19.50	$42.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $37.15	Professional		$19.50	$26.30	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $36.31	Facility		$19.50	$19.95	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $75.86	Facility		$19.50	$19.95	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $104.71	Professional		$19.50	$19.50	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $63.10	Professional		$19.50	$38.02	$63.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $85.11 / $89.13	Facility		$19.50	$85.11	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.39 / $114.82	Professional		$19.50	$22.39	$114.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18