Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $85.11	Facility		$66.07	$66.07	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $213.80	Professional		$64.57	$91.20	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $74.13	Professional		$66.07	$66.07	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $218.78	Facility		$70.79	$125.89	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $77.62	Professional		$61.66	$70.79	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $74.13	Facility		$66.07	$74.13	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $208.93	Facility		$66.07	$89.13	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $102.33	Professional		$63.10	$72.44	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $85.11	Professional		$15.14	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $223.87	Facility		$70.79	$70.79	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $89.13	Professional		$58.88	$69.18	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $112.20	Professional		$64.57	$74.13	$112.20