Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $112.20	Facility		$33.11	$52.48	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $57.54	Professional		$28.18	$40.74	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $138.04	Professional		$30.90	$58.88	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $251.19	Facility		$134.90	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $147.91	Professional		$43.65	$89.13	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $67.61	Facility		$28.84	$46.77	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Professional		$46.77	$81.28	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $67.61	Facility		$28.18	$46.77	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $309.03	Professional		$57.54	$102.33	$309.03
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 $33.88 / $72.44 / $141.25	Professional		$33.88	$72.44	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $194.98	Facility		$70.79	$70.79	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $112.20 / $309.03	Professional		$40.74	$112.20	$309.03
Security Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $104.71	Professional		$40.74	$63.10	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $125.89	Professional		$40.74	$67.61	$125.89