Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $181.97 / $338.84	Facility		$63.10	$181.97	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $154.88	Professional		$30.90	$38.90	$154.88
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 $19.50 / $19.50 / $173.78	Professional		$19.50	$19.50	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $218.78	Facility		$117.49	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $144.54	Professional		$48.98	$112.20	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $275.42	Facility		$51.29	$190.55	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $223.87	Facility		$39.81	$57.54	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $389.05	Professional		$38.90	$48.98	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $85.11	Professional		$33.11	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $147.91	Professional		$74.13	$107.15	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $234.42	Facility		$85.11	$234.42	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $213.80 / $398.11	Professional		$22.91	$213.80	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Professional		$35.48	$35.48	$91.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $117.49 / $229.09	Professional		$35.48	$117.49	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $51.29	Facility		$33.88	$33.88	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $114.82	Professional		$25.70	$42.66	$114.82