Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $173.78 / $173.78	Facility		$25.70	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $33.88	Professional		$18.20	$25.70	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $54.95	Facility		$33.88	$33.88	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Professional		$31.62	$31.62	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $63.10	Professional		$36.31	$45.71	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $34.67	Facility		$26.30	$33.11	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $34.67 / $158.49	Facility		$26.30	$34.67	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $107.15	Professional		$17.78	$45.71	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $89.13	Professional		$38.02	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $104.71	Professional		$33.88	$60.26	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $173.78	Facility		$66.07	$173.78	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $51.29	Facility		$33.88	$33.88	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $40.74 / $107.15	Professional		$12.30	$40.74	$107.15