Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $57.54	Professional		$28.84	$39.81	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $112.20	Facility		$67.61	$67.61	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $75.86	Professional		$47.86	$63.10	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $208.93 / $331.13	Facility		$39.81	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $95.50 / $128.82	Professional		$33.88	$95.50	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $95.50	Facility		$32.36	$56.23	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $87.10	Professional		$60.26	$72.44	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $309.03	Facility		$38.02	$66.07	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $72.44	Professional		$28.18	$33.88	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $70.79	Professional		$32.36	$34.67	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $177.83	Professional		$67.61	$102.33	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $316.23	Facility		$39.81	$134.90	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $331.13	Professional		$33.88	$72.44	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.18 / $42.66	Facility		$25.70	$28.18	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $53.70	Professional		$21.88	$33.11	$53.70