Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $144.54	Facility		$26.92	$63.10	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $37.15	Professional		$16.98	$19.95	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $63.10	Facility		$48.98	$61.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $93.33	Professional		$10.00	$10.00	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $114.82	Facility		$61.66	$72.44	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $70.79	Professional		$26.30	$54.95	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $107.15 / $158.49	Facility		$27.54	$107.15	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $151.36	Professional		$134.90	$134.90	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $85.11	Facility		$21.38	$30.90	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $177.83	Professional		$12.30	$16.98	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $70.79	Professional		$22.91	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $85.11	Professional		$39.81	$57.54	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $107.15	Facility		$45.71	$107.15	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $114.82 / $177.83	Professional		$25.70	$114.82	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $48.98	Professional		$20.42	$20.42	$48.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $66.07 / $125.89	Professional		$20.42	$66.07	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $27.54	Facility		$18.20	$18.20	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $43.65	Professional		$9.55	$16.22	$43.65