Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $58.88	Professional		$30.20	$41.69	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Facility		$70.79	$70.79	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $77.62	Professional		$58.88	$66.07	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $218.78 / $346.74	Facility		$38.02	$218.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $93.33 / $134.90	Professional		$28.18	$93.33	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $58.88 / $102.33	Facility		$33.88	$58.88	$102.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $85.11	Professional		$39.81	$69.18	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $331.13	Facility		$39.81	$69.18	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $81.28	Professional		$29.51	$35.48	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $74.13	Professional		$32.36	$54.95	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $186.21	Professional		$70.79	$107.15	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $141.25 / $331.13	Facility		$38.02	$141.25	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $346.74	Professional		$28.18	$38.02	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $46.77	Facility		$25.12	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $61.66	Professional		$23.44	$34.67	$61.66