Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $53.70	Professional		$25.70	$38.02	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $104.71	Facility		$63.10	$63.10	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $67.61	Professional		$58.88	$58.88	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $74.13 / $120.23	Professional		$21.38	$74.13	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $64.57	Facility		$33.88	$45.71	$64.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $77.62	Professional		$56.23	$64.57	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $125.89	Facility		$33.88	$50.12	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $316.23	Professional		$26.30	$30.90	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $70.79	Professional		$32.36	$38.02	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $165.96	Professional		$63.10	$95.50	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $295.12	Facility		$125.89	$125.89	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $323.59	Professional		$21.38	$25.70	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $50.12	Professional		$20.89	$30.90	$50.12