Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $112.20	Facility		$47.86	$91.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $61.66	Professional		$25.70	$34.67	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $112.20	Facility		$87.10	$109.65	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $162.18	Professional		$16.22	$16.22	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $138.04	Professional		$46.77	$70.79	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $138.04 / $204.17	Facility		$48.98	$138.04	$204.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $141.25	Facility		$38.90	$52.48	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $389.05	Professional		$32.36	$40.74	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $85.11	Professional		$32.36	$52.48	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $141.25	Professional		$70.79	$102.33	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $194.98	Facility		$81.28	$194.98	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $204.17 / $398.11	Professional		$34.67	$204.17	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $87.10	Professional		$26.30	$26.30	$87.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $100.00 / $223.87	Professional		$26.30	$100.00	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $48.98	Facility		$32.36	$32.36	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $95.50	Professional		$24.55	$40.74	$95.50