Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $42.66	Facility		$41.69	$41.69	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $53.70	Professional		$41.69	$42.66	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $177.83	Professional		$46.77	$79.43	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $181.97 / $302.00	Facility		$44.67	$181.97	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $114.82	Professional		$44.67	$85.11	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $107.15	Facility		$42.66	$52.48	$107.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $97.72	Professional		$63.10	$91.20	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $125.89	Facility		$42.66	$52.48	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $302.00	Professional		$50.12	$50.12	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $85.11	Professional		$39.81	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $173.78	Professional		$57.54	$123.03	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $302.00	Facility		$44.67	$44.67	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $302.00	Professional		$44.67	$75.86	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $234.42	Professional		$87.10	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $69.18	Professional		$50.12	$50.12	$69.18