Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $134.90	Facility		$58.88	$109.65	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $77.62	Professional		$37.15	$45.71	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $134.90	Facility		$107.15	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $204.17	Professional		$24.55	$24.55	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $251.19	Facility		$134.90	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $154.88	Professional		$57.54	$120.23	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $275.42 / $398.11	Facility		$54.95	$275.42	$398.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $173.78	Facility		$44.67	$58.88	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $245.47	Professional		$28.18	$40.74	$245.47
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 $85.11 / $125.89 / $169.82	Professional		$85.11	$125.89	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $234.42 / $234.42	Facility		$107.15	$234.42	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $245.47 / $245.47	Professional		$58.88	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $104.71	Professional		$51.29	$51.29	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $269.15	Professional		$51.29	$51.29	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $58.88	Facility		$43.65	$43.65	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $95.50	Professional		$20.89	$38.02	$95.50