Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $57.54 / $72.44	Facility		$30.90	$57.54	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $47.86	Professional		$18.20	$23.99	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $72.44	Facility		$56.23	$70.79	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $107.15	Professional		$12.88	$12.88	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $81.28	Professional		$30.20	$63.10	$81.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $144.54 / $223.87	Facility		$31.62	$144.54	$223.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $173.78	Professional		$154.88	$154.88	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $141.25	Facility		$24.55	$33.11	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $812.83	Professional		$15.14	$21.88	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $53.70 / $85.11	Professional		$26.30	$53.70	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $91.20	Professional		$45.71	$66.07	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $323.59 / $323.59	Facility		$66.07	$323.59	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $724.44 / $812.83	Professional		$31.62	$724.44	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $100.00	Professional		$54.95	$54.95	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $144.54	Professional		$100.00	$100.00	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Facility		$23.44	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $57.54	Professional		$10.96	$20.89	$57.54