Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $117.49	Facility		$51.29	$95.50	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $85.11	Professional		$32.36	$39.81	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $117.49	Facility		$91.20	$114.82	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $177.83	Professional		$21.38	$21.38	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $218.78	Facility		$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $134.90	Professional		$48.98	$102.33	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $213.80 / $338.84	Facility		$51.29	$213.80	$338.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $151.36	Facility		$40.74	$57.54	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $354.81	Professional		$25.12	$36.31	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $85.11	Professional		$33.11	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $204.17 / $204.17	Facility		$85.11	$204.17	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $239.88 / $354.81	Professional		$51.29	$239.88	$354.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $91.20	Professional		$43.65	$43.65	$91.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $125.89 / $234.42	Professional		$43.65	$125.89	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $51.29	Facility		$38.02	$38.02	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $85.11	Professional		$17.78	$33.88	$85.11