Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $338.84	Facility		$36.31	$41.69	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $36.31	Professional		$19.05	$25.12	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $117.49	Professional		$13.80	$13.80	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $114.82	Facility		$61.66	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $50.12 / $104.71	Professional		$15.85	$50.12	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $38.90	Facility		$17.38	$26.30	$38.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $91.20	Professional		$33.88	$39.81	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $51.29	Facility		$18.20	$27.54	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $204.17	Professional		$9.77	$19.50	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $81.28	Professional		$34.67	$53.70	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $204.17	Facility		$43.65	$43.65	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $162.18 / $204.17	Professional		$15.49	$162.18	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $112.20	Professional		$53.70	$53.70	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $602.56	Facility		$114.82	$114.82	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $35.48	Professional		$9.55	$14.79	$35.48