Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $85.11	Facility		$37.15	$69.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $46.77	Professional		$19.95	$25.70	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $85.11	Facility		$67.61	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $125.89	Professional		$12.59	$12.59	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $158.49	Facility		$85.11	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $97.72	Professional		$36.31	$53.70	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $158.49	Facility		$34.67	$100.00	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $208.93	Professional		$186.21	$186.21	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $39.81 / $109.65	Facility		$29.51	$39.81	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $199.53	Professional		$14.13	$18.62	$199.53
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 $53.70 / $79.43 / $102.33	Professional		$53.70	$79.43	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $151.36	Facility		$63.10	$151.36	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $154.88 / $199.53	Professional		$25.70	$154.88	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Professional		$20.42	$20.42	$66.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $79.43 / $169.82	Professional		$20.42	$79.43	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $37.15	Facility		$25.12	$25.12	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $46.77	Professional		$13.18	$18.62	$46.77