Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $162.18	Facility		$41.69	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $72.44	Professional		$23.99	$30.90	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $95.50	Facility		$75.86	$93.33	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $144.54	Professional		$17.38	$17.38	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $109.65	Professional		$39.81	$85.11	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $186.21 / $281.84	Facility		$41.69	$186.21	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $147.91	Facility		$33.11	$47.86	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $363.08	Professional		$20.42	$29.51	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $147.91	Professional		$61.66	$89.13	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $208.93 / $208.93	Facility		$97.72	$208.93	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $194.98 / $363.08	Professional		$41.69	$194.98	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $229.09	Professional		$74.13	$74.13	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $229.09	Professional		$141.25	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $41.69	Facility		$30.90	$30.90	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $77.62	Professional		$14.79	$28.18	$77.62