Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $87.10	Facility		$53.70	$53.70	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $58.88	Professional		$39.81	$48.98	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $263.03	Facility		$34.67	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $70.79 / $100.00	Professional		$21.38	$70.79	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $75.86	Facility		$25.12	$43.65	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $72.44	Professional		$30.20	$52.48	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $245.47	Facility		$30.20	$52.48	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $57.54	Professional		$21.88	$26.30	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $70.79	Professional		$26.92	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $138.04	Professional		$53.70	$79.43	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $245.47	Facility		$34.67	$104.71	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $257.04	Professional		$21.38	$34.67	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $33.11	Facility		$19.95	$22.39	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $42.66	Professional		$17.38	$26.30	$42.66