Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $100.00	Facility		$45.71	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $69.18	Professional		$40.74	$46.77	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $141.25	Professional		$50.12	$74.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $263.03	Facility		$141.25	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $154.88	Professional		$74.13	$134.90	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $74.13	Facility		$42.66	$51.29	$74.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $158.49	Professional		$67.61	$109.65	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $85.11	Facility		$43.65	$53.70	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $1,023.29	Professional		$60.26	$95.50	$1,023.29
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 $52.48 / $85.11 / $151.36	Professional		$52.48	$85.11	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $275.42 / $1,023.29	Professional		$66.07	$275.42	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $109.65	Professional		$64.57	$100.00	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $151.36	Professional		$57.54	$85.11	$151.36