Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $52.48	Professional		$50.12	$52.48	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Facility		$63.10	$63.10	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Professional		$58.88	$58.88	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $89.13 / $117.49	Professional		$21.38	$89.13	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $93.33	Facility		$52.48	$52.48	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $147.91	Professional		$61.66	$104.71	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $128.82	Facility		$52.48	$61.66	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $302.00	Professional		$35.48	$35.48	$302.00
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 $63.10 / $97.72 / $190.55	Professional		$63.10	$97.72	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $288.40	Facility		$123.03	$123.03	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $275.42 / $302.00	Professional		$21.38	$275.42	$302.00
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 Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88