Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $141.25	Facility		$61.66	$114.82	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $79.43	Professional		$33.11	$44.67	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $141.25	Facility		$109.65	$138.04	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $213.80	Professional		$25.12	$25.12	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $263.03	Facility		$141.25	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $158.49	Professional		$58.88	$123.03	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $288.40 / $407.38	Facility		$56.23	$288.40	$407.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $338.84	Professional		$309.03	$309.03	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $177.83	Facility		$45.71	$61.66	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $288.40	Professional		$29.51	$43.65	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $100.00	Professional		$32.36	$58.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $177.83	Professional		$89.13	$131.83	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $245.47	Facility		$109.65	$245.47	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $257.04 / $295.12	Professional		$33.88	$257.04	$295.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $109.65	Professional		$52.48	$52.48	$109.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $204.17 / $316.23	Professional		$52.48	$204.17	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Facility		$45.71	$45.71	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $39.81 / $100.00	Professional		$21.38	$39.81	$100.00