Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $87.10	Facility		$37.15	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $37.15	Professional		$21.88	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $109.65	Professional		$4.37	$4.37	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $162.18	Facility		$87.10	$102.33	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $97.72	Professional		$36.31	$47.86	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $109.65 / $186.21	Facility		$16.60	$109.65	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.18 / $151.36	Facility		$16.60	$28.18	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $56.23	Professional		$15.85	$19.05	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $85.11	Professional		$31.62	$31.62	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $104.71	Professional		$40.74	$72.44	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $151.36	Facility		$63.10	$63.10	$151.36
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 $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $38.02	Facility		$25.12	$25.12	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $61.66	Professional		$13.18	$19.05	$61.66