Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $48.98	Professional		$26.92	$39.81	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $275.42	Professional		$45.71	$79.43	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $181.97	Facility		$112.20	$131.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $75.86	Professional		$46.77	$60.26	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $81.28	Facility		$34.67	$40.74	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $97.72	Facility		$32.36	$40.74	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $223.87	Professional		$43.65	$64.57	$223.87
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 $52.48 / $100.00 / $154.88	Professional		$52.48	$100.00	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $269.15	Facility		$109.65	$109.65	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $269.15	Professional		$109.65	$239.88	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $128.82	Professional		$89.13	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $151.36	Professional		$41.69	$57.54	$151.36