Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $19.05	Professional		$12.88	$14.13	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $128.82	Professional		$20.89	$38.90	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $288.40	Facility		$138.04	$245.47	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $81.28 / $125.89	Professional		$15.14	$81.28	$125.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $38.90	Facility		$12.02	$14.45	$38.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $40.74	Facility		$13.18	$14.79	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $223.87	Professional		$46.77	$85.11	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $117.49	Professional		$45.71	$66.07	$117.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $218.78	Facility		$95.50	$95.50	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $173.78 / $218.78	Professional		$12.88	$173.78	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $52.48	Professional		$23.44	$41.69	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $30.20	Facility		$22.39	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $151.36	Professional		$43.65	$66.07	$151.36