Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $134.90	Facility		$38.90	$38.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $151.36	Professional		$33.88	$42.66	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $125.89	Professional		$35.48	$53.70	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $131.83	Professional		$39.81	$93.33	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $74.13	Facility		$33.88	$42.66	$74.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $109.65	Professional		$67.61	$81.28	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $97.72	Facility		$34.67	$43.65	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $229.09	Professional		$41.69	$74.13	$229.09
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 $46.77 / $83.18 / $117.49	Professional		$46.77	$83.18	$117.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $229.09	Facility		$85.11	$229.09	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $186.21 / $229.09	Professional		$44.67	$186.21	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $186.21	Professional		$81.28	$120.23	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $128.82	Professional		$38.90	$60.26	$128.82