Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $91.20	Professional		$57.54	$69.18	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $229.09	Professional		$50.12	$69.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $346.74	Facility		$177.83	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $288.40	Professional		$81.28	$102.33	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $109.65	Facility		$61.66	$75.86	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Facility		$61.66	$75.86	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $575.44	Professional		$69.18	$117.49	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $162.18	Professional		$32.36	$50.12	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $208.93	Professional		$81.28	$125.89	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $446.68	Facility		$158.49	$158.49	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $346.74 / $575.44	Professional		$81.28	$346.74	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $34.67 / $57.54	Professional		$1.78	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $97.72	Facility		$61.66	$70.79	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $229.09	Professional		$66.07	$97.72	$229.09