Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $32.36 / $112.20	Facility		$30.20	$32.36	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $70.79	Professional		$19.05	$32.36	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $67.61	Facility		$56.23	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $34.67	Professional		$30.90	$30.90	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $70.79 / $123.03	Facility		$33.88	$70.79	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $87.10	Professional		$34.67	$43.65	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $43.65	Facility		$30.90	$33.88	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $43.65	Facility		$30.90	$33.88	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $53.70	Professional		$33.88	$36.31	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $67.61	Professional		$30.20	$54.95	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $107.15	Facility		$33.88	$33.88	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $56.23	Professional		$38.90	$45.71	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $56.23	Professional		$33.88	$36.31	$56.23