Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $56.23	Professional		$28.18	$38.90	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $112.20	Facility		$67.61	$67.61	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $102.33	Professional		$63.10	$67.61	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $208.93 / $331.13	Facility		$48.98	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $95.50 / $128.82	Professional		$33.88	$95.50	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.95 / $95.50	Facility		$32.36	$54.95	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $263.03	Professional		$60.26	$213.80	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $309.03	Facility		$38.02	$66.07	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $131.83	Professional		$28.18	$35.48	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $177.83	Professional		$67.61	$102.33	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $316.23	Facility		$39.81	$134.90	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $331.13	Professional		$33.88	$72.44	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $43.65	Facility		$23.99	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $60.26	Professional		$21.88	$33.11	$60.26