Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $38.02	Facility		$28.84	$33.11	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $72.44	Professional		$28.84	$38.02	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $165.96	Professional		$52.48	$83.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $131.83	Professional		$50.12	$114.82	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $57.54	Facility		$36.31	$42.66	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $213.80	Facility		$37.15	$50.12	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $138.04	Professional		$46.77	$74.13	$138.04
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 $74.13 / $117.49 / $141.25	Professional		$74.13	$117.49	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $338.84	Facility		$85.11	$85.11	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $97.72	Professional		$75.86	$93.33	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $169.82	Professional		$48.98	$87.10	$169.82