Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $123.03	Facility		$52.48	$100.00	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $66.07	Professional		$28.18	$37.15	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $123.03	Facility		$95.50	$120.23	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $177.83	Professional		$17.78	$17.78	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $229.09	Facility		$123.03	$144.54	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $141.25	Professional		$51.29	$107.15	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $263.03	Facility		$48.98	$181.97	$263.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $158.49	Facility		$40.74	$53.70	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $223.87	Professional		$20.42	$26.92	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $70.79	Professional		$44.67	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $147.91	Professional		$77.62	$104.71	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $213.80	Facility		$89.13	$213.80	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $223.87 / $223.87	Professional		$53.70	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $338.84	Professional		$131.83	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $53.70	Facility		$36.31	$36.31	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $74.13	Professional		$19.05	$26.92	$74.13