Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $58.88	Professional		$36.31	$46.77	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $144.54	Professional		$52.48	$69.18	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $239.88	Facility		$128.82	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $144.54	Professional		$42.66	$70.79	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $69.18	Facility		$44.67	$50.12	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $144.54	Professional		$63.10	$91.20	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $48.98 / $69.18	Facility		$43.65	$48.98	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $338.84	Professional		$61.66	$97.72	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $154.88	Professional		$54.95	$79.43	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $338.84	Facility		$93.33	$93.33	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $269.15 / $338.84	Professional		$42.66	$269.15	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $100.00	Professional		$77.62	$91.20	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $147.91	Professional		$58.88	$85.11	$147.91