Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $95.50	Facility		$41.69	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $41.69	Professional		$23.99	$28.18	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $95.50	Facility		$75.86	$93.33	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $128.82	Professional		$16.22	$19.05	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $89.13 / $109.65	Professional		$39.81	$89.13	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $147.91 / $223.87	Facility		$38.90	$147.91	$223.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $41.69 / $123.03	Facility		$31.62	$41.69	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $173.78	Professional		$15.85	$20.89	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $114.82	Professional		$56.23	$83.18	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $165.96 / $165.96	Facility		$70.79	$165.96	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $173.78 / $173.78	Professional		$51.29	$173.78	$173.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $269.15	Professional		$102.33	$190.55	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $41.69	Facility		$28.18	$28.18	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $57.54	Professional		$14.79	$20.89	$57.54