Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $107.15	Facility		$46.77	$87.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $72.44	Professional		$25.12	$33.88	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $107.15	Facility		$85.11	$104.71	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $162.18	Professional		$17.38	$17.38	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $123.03	Professional		$44.67	$93.33	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $173.78 / $281.84	Facility		$46.77	$173.78	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Professional		$234.42	$234.42	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $138.04	Facility		$37.15	$52.48	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $323.59	Professional		$20.42	$29.51	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $147.91	Professional		$69.18	$100.00	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $204.17	Facility		$77.62	$204.17	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $194.98 / $323.59	Professional		$44.67	$194.98	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $83.18	Professional		$36.31	$36.31	$83.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $114.82 / $218.78	Professional		$36.31	$114.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $46.77	Facility		$31.62	$31.62	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $77.62	Professional		$16.60	$28.84	$77.62