Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $33.88	Professional		$15.85	$28.18	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Facility		$36.31	$36.31	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $69.18	Professional		$41.69	$52.48	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $38.02	Facility		$26.30	$36.31	$38.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $169.82	Facility		$26.30	$36.31	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $89.13	Professional		$17.78	$36.31	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $114.82	Professional		$36.31	$56.23	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $169.82	Facility		$72.44	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.11 / $93.33	Professional		$14.13	$33.11	$93.33