Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $63.10	Professional		$25.12	$33.11	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $151.36	Professional		$43.65	$77.62	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $223.87	Facility		$120.23	$141.25	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $91.20	Professional		$30.90	$63.10	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $85.11	Facility		$26.92	$38.90	$85.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $109.65	Professional		$54.95	$79.43	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $40.74 / $97.72	Facility		$28.18	$40.74	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $281.84	Professional		$25.70	$30.20	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $70.79	Professional		$32.36	$37.15	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $169.82	Professional		$56.23	$112.20	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $281.84	Facility		$95.50	$95.50	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $213.80 / $281.84	Professional		$30.90	$213.80	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $48.98	Professional		$19.95	$30.20	$48.98