Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $128.82 / $199.53	Facility		$40.74	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $75.86	Professional		$19.05	$25.12	$75.86
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 / $50.12 / $91.20	Professional		$30.90	$50.12	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $93.33 / $151.36	Facility		$32.36	$93.33	$151.36
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 $18.20 / $26.92 / $363.08	Professional		$18.20	$26.92	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $70.79	Professional		$26.92	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $93.33	Professional		$46.77	$64.57	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $208.93 / $208.93	Facility		$53.70	$208.93	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $134.90 / $363.08	Professional		$24.55	$134.90	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Professional		$38.02	$38.02	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $147.91	Professional		$38.02	$61.66	$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 $16.22 / $26.92 / $69.18	Professional		$16.22	$26.92	$69.18