Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $60.26	Professional		$34.67	$44.67	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $213.80	Professional		$61.66	$109.65	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $316.23	Facility		$169.82	$194.98	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $89.13	Professional		$43.65	$79.43	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $120.23	Facility		$38.02	$54.95	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $120.23	Professional		$77.62	$87.10	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $138.04	Facility		$39.81	$57.54	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $398.11	Professional		$36.31	$42.66	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $239.88	Professional		$79.43	$158.49	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $398.11	Facility		$134.90	$134.90	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $302.00 / $398.11	Professional		$43.65	$302.00	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $69.18	Professional		$28.18	$42.66	$69.18