Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $53.70	Professional		$26.92	$42.66	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $151.36	Professional		$41.69	$66.07	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $38.90	Professional		$15.49	$19.95	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $52.48	Facility		$16.22	$40.74	$52.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $52.48	Facility		$16.22	$40.74	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $281.84	Professional		$15.14	$32.36	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $123.03	Professional		$47.86	$85.11	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $281.84	Facility		$91.20	$91.20	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $281.84	Professional		$162.18	$281.84	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $69.18 / $77.62	Professional		$19.95	$69.18	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $61.66	Professional		$15.14	$28.84	$61.66