Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $190.55	Facility		$32.36	$74.13	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $41.69	Professional		$19.05	$21.88	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $74.13	Facility		$57.54	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $107.15	Professional		$10.72	$10.72	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $83.18	Professional		$30.90	$64.57	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $102.33 / $158.49	Facility		$32.36	$102.33	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $177.83	Professional		$162.18	$162.18	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $93.33	Facility		$25.70	$34.67	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $263.03	Professional		$13.80	$17.38	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $70.79	Professional		$26.92	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $89.13	Professional		$46.77	$67.61	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $128.82 / $128.82	Facility		$53.70	$128.82	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $134.90 / $263.03	Professional		$25.70	$134.90	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $57.54	Professional		$20.42	$20.42	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $79.43 / $147.91	Professional		$20.42	$79.43	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Facility		$21.38	$21.38	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $44.67	Professional		$11.22	$16.60	$44.67