Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $128.82	Facility		$56.23	$104.71	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $83.18	Professional		$32.36	$38.90	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $128.82	Facility		$100.00	$125.89	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $186.21	Professional		$18.62	$18.62	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $239.88	Facility		$128.82	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $147.91	Professional		$53.70	$112.20	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $275.42	Facility		$51.29	$190.55	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $316.23	Professional		$281.84	$281.84	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $165.96	Facility		$42.66	$56.23	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $234.42	Professional		$21.38	$28.18	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $70.79	Professional		$46.77	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $154.88	Professional		$81.28	$112.20	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $234.42 / $234.42	Professional		$56.23	$234.42	$234.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $354.81	Professional		$138.04	$257.04	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $56.23	Facility		$38.02	$38.02	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $77.62	Professional		$19.95	$28.18	$77.62