Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $128.82	Facility		$37.15	$61.66	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $74.13	Professional		$33.11	$45.71	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $169.82	Professional		$39.81	$72.44	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $288.40	Facility		$154.88	$181.97	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $169.82	Professional		$44.67	$97.72	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $93.33	Facility		$34.67	$54.95	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $154.88	Professional		$63.10	$97.72	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $95.50	Facility		$35.48	$56.23	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $512.86	Professional		$51.29	$93.33	$512.86
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 $58.88 / $102.33 / $186.21	Professional		$58.88	$102.33	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $436.52	Facility		$81.28	$81.28	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $269.15 / $512.86	Professional		$42.66	$269.15	$512.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $295.12	Professional		$87.10	$162.18	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Facility		$100.00	$100.00	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $165.96	Professional		$41.69	$74.13	$165.96