Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $141.25 / $186.21	Facility		$25.70	$141.25	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $48.98	Professional		$20.89	$25.12	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $81.28	Professional		$23.44	$34.67	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $79.43 / $128.82	Facility		$69.18	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $79.43	Professional		$26.30	$54.95	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.30 / $47.86	Facility		$19.50	$26.30	$47.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $75.86	Professional		$43.65	$52.48	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $57.54	Facility		$18.62	$26.92	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $204.17	Professional		$23.99	$41.69	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $13.80 / $54.95	Professional		$6.17	$13.80	$54.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $97.72	Professional		$30.90	$61.66	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $158.49	Facility		$57.54	$158.49	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $120.23 / $204.17	Professional		$27.54	$120.23	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Security Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $87.10	Professional		$21.38	$47.86	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $446.68	Facility		$338.84	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $74.13	Professional		$23.44	$33.88	$74.13