Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Facility		$30.90	$30.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $95.50	Professional		$28.18	$58.88	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $257.04	Professional		$46.77	$107.15	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $467.74	Facility		$380.19	$380.19	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $186.21	Professional		$31.62	$77.62	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $186.21	Facility		$30.90	$77.62	$186.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $229.09	Professional		$61.66	$93.33	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $70.79 / $199.53	Facility		$30.20	$70.79	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $562.34	Professional		$74.13	$107.15	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $104.71	Professional		$32.36	$50.12	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $275.42	Professional		$44.67	$97.72	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $177.83 / $562.34	Professional		$36.31	$177.83	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $107.15	Professional		$41.69	$41.69	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $309.03	Professional		$74.13	$117.49	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $138.04	Professional		$32.36	$70.79	$138.04