Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.88	Professional		$16.98	$22.91	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $66.07	Facility		$40.74	$40.74	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $44.67	Professional		$33.88	$38.02	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $123.03 / $199.53	Facility		$19.50	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $53.70 / $75.86	Professional		$16.22	$53.70	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $57.54	Facility		$19.50	$33.11	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $74.13	Professional		$36.31	$60.26	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $177.83	Facility		$22.91	$39.81	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $45.71	Professional		$16.98	$20.42	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $70.79	Professional		$21.38	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $107.15	Professional		$40.74	$60.26	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $81.28 / $190.55	Facility		$19.50	$81.28	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $199.53	Professional		$16.22	$19.50	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $25.12	Facility		$14.13	$18.20	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $33.88	Professional		$13.18	$19.95	$33.88