Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $74.13	Facility		$51.29	$61.66	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $52.48	Professional		$7.08	$10.96	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $63.10	Professional		$19.05	$28.84	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $162.18	Facility		$87.10	$102.33	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $125.89	Professional		$32.36	$36.31	$125.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $19.05 / $43.65	Facility		$6.92	$19.05	$43.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $24.55 / $117.49	Facility		$6.92	$24.55	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $54.95	Professional		$13.80	$24.55	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $114.82	Professional		$50.12	$81.28	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $186.21 / $186.21	Facility		$63.10	$186.21	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Security Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Facility		$18.20	$21.88	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $42.66	Professional		$22.39	$27.54	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Facility		$125.89	$125.89	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.20 / $47.86	Professional		$13.80	$30.20	$47.86