Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $40.74	Professional		$21.88	$33.88	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $181.97	Professional		$32.36	$54.95	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $204.17	Facility		$109.65	$128.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $77.62	Professional		$45.71	$58.88	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $87.10	Facility		$22.91	$35.48	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $83.18 / $7,585.78	Facility		$26.30	$83.18	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $275.42	Professional		$31.62	$56.23	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $120.23	Professional		$40.74	$85.11	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $218.78	Facility		$95.50	$218.78	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $263.03	Professional		$151.36	$263.03	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $363.08	Professional		$131.83	$281.84	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $117.49	Professional		$31.62	$48.98	$117.49