Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $83.18	Facility		$36.31	$67.61	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $44.67	Professional		$19.05	$25.12	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $83.18	Facility		$64.57	$81.28	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $120.23	Professional		$12.02	$12.02	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $93.33	Professional		$34.67	$52.48	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $100.00 / $158.49	Facility		$33.11	$100.00	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Professional		$181.97	$181.97	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.02 / $104.71	Facility		$28.84	$38.02	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $208.93	Professional		$13.80	$18.20	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $70.79	Professional		$27.54	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $100.00	Professional		$52.48	$75.86	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $151.36 / $208.93	Professional		$25.70	$151.36	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $64.57	Professional		$20.42	$20.42	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $67.61 / $162.18	Professional		$20.42	$67.61	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $36.31	Facility		$23.99	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $45.71	Professional		$12.59	$18.20	$45.71