Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.07 / $81.28	Facility		$57.54	$66.07	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $131.83	Professional		$46.77	$54.95	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $144.54	Professional		$36.31	$44.67	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $144.54 / $190.55	Facility		$64.57	$144.54	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $154.88	Professional		$44.67	$74.13	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $104.71	Facility		$44.67	$57.54	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $144.54	Professional		$93.33	$97.72	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $194.98	Facility		$43.65	$61.66	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $346.74	Professional		$45.71	$52.48	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $162.18	Professional		$54.95	$114.82	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $346.74	Facility		$64.57	$120.23	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $257.04 / $346.74	Professional		$52.48	$257.04	$346.74
Security Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $147.91	Professional		$57.54	$109.65	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $89.13	Professional		$44.67	$51.29	$89.13