Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $549.54	Facility		$109.65	$173.78	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $75.86	Professional		$61.66	$63.10	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $134.90	Professional		$42.66	$64.57	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $141.25	Facility		$66.07	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $66.07	Professional		$33.11	$47.86	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $77.62	Facility		$26.30	$61.66	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $81.28	Professional		$30.20	$75.86	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $79.43	Facility		$26.30	$61.66	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $295.12	Professional		$64.57	$64.57	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $54.95 / $85.11	Professional		$19.95	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $131.83	Professional		$43.65	$95.50	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $229.09	Facility		$66.07	$66.07	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $346.74	Professional		$64.57	$66.07	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $109.65	Professional		$40.74	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $87.10	Professional		$64.57	$64.57	$87.10