Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $47.86	Professional		$23.99	$33.11	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Facility		$57.54	$57.54	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $64.57	Professional		$31.62	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $281.84	Facility		$151.36	$177.83	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $83.18 / $109.65	Professional		$23.99	$83.18	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $81.28	Facility		$28.18	$46.77	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $69.18	Professional		$32.36	$54.95	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $245.47	Facility		$31.62	$56.23	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $66.07	Professional		$25.12	$30.20	$66.07
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 $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $263.03	Facility		$114.82	$114.82	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $85.11 / $288.40	Professional		$23.99	$85.11	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $39.81	Facility		$21.38	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $51.29	Professional		$19.50	$28.18	$51.29