Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $66.07	Professional		$30.90	$54.95	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Facility		$70.79	$70.79	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Professional		$66.07	$66.07	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $346.74	Facility		$186.21	$218.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $134.90	Professional		$81.28	$100.00	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $72.44	Facility		$51.29	$69.18	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $323.59	Facility		$51.29	$69.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $169.82	Professional		$34.67	$69.18	$169.82
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 $70.79 / $109.65 / $218.78	Professional		$70.79	$109.65	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $331.13	Facility		$141.25	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $177.83	Professional		$26.92	$64.57	$177.83