Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $74.13	Professional		$60.26	$67.61	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $234.42	Facility		$74.13	$134.90	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $83.18	Professional		$33.88	$66.07	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $79.43	Facility		$19.50	$37.15	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $79.43	Facility		$19.50	$37.15	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $104.71	Professional		$66.07	$74.13	$104.71
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 Professional Modifier Low / Median / High Price $23.44 / $44.67 / $60.26	Professional		$23.44	$44.67	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $234.42	Facility		$74.13	$85.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $114.82	Professional		$66.07	$74.13	$114.82