Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $32.36	Professional		$16.98	$21.88	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $104.71	Professional		$12.30	$12.30	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $102.33	Facility		$54.95	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $38.02 / $93.33	Professional		$13.80	$38.02	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.44 / $35.48	Facility		$12.88	$23.44	$35.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $56.23	Professional		$18.62	$21.88	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.44 / $52.48	Facility		$14.45	$23.44	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $186.21	Professional		$7.94	$17.38	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $91.20	Professional		$31.62	$50.12	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $186.21 / $186.21	Facility		$38.90	$186.21	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $144.54 / $186.21	Professional		$14.45	$144.54	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $208.93	Facility		$25.70	$25.70	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.18 / $31.62	Professional		$7.76	$13.18	$31.62