Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $79.43	Facility		$28.84	$28.84	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $100.00	Professional		$26.92	$57.54	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $251.19	Professional		$45.71	$102.33	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $380.19	Facility		$234.42	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $199.53	Professional		$37.15	$75.86	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $57.54 / $104.71	Facility		$25.12	$57.54	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $213.80	Professional		$45.71	$85.11	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $63.10 / $154.88	Facility		$25.12	$63.10	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $537.03	Professional		$75.86	$107.15	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $245.47	Professional		$35.48	$85.11	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $302.00 / $302.00	Facility		$74.13	$302.00	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $173.78 / $537.03	Professional		$44.67	$173.78	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $302.00	Professional		$52.48	$112.20	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $158.49	Professional		$33.88	$75.86	$158.49