Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $44.67	Professional		$23.99	$30.90	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $147.91	Professional		$17.38	$17.38	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $141.25	Facility		$75.86	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $52.48 / $131.83	Professional		$19.50	$52.48	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $32.36 / $47.86	Facility		$15.85	$32.36	$47.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $64.57	Professional		$22.39	$26.30	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.11 / $64.57	Facility		$15.85	$33.11	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.99 / $257.04	Professional		$11.22	$23.99	$257.04
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 $40.74 / $67.61 / $102.33	Professional		$40.74	$67.61	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $257.04 / $257.04	Facility		$54.95	$257.04	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $204.17 / $257.04	Professional		$19.50	$204.17	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
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 $11.22 / $18.62 / $43.65	Professional		$11.22	$18.62	$43.65