Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $45.71	Professional		$33.11	$38.90	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $257.04	Professional		$39.81	$74.13	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $177.83	Facility		$109.65	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $75.86	Professional		$45.71	$58.88	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $79.43	Facility		$33.11	$38.90	$79.43
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 $29.51 / $38.90 / $85.11	Facility		$29.51	$38.90	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $190.55	Professional		$38.02	$57.54	$190.55
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 $43.65 / $81.28 / $128.82	Professional		$43.65	$81.28	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $251.19	Facility		$89.13	$89.13	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $251.19	Professional		$91.20	$199.53	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $128.82	Professional		$91.20	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $125.89	Professional		$36.31	$48.98	$125.89