Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $46.77	Professional		$26.92	$38.02	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $194.98	Professional		$40.74	$89.13	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Facility		$186.21	$186.21	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $97.72	Professional		$37.15	$50.12	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $58.88	Facility		$26.92	$39.81	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $117.49	Professional		$50.12	$87.10	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $58.88	Facility		$26.92	$38.02	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $269.15	Professional		$33.11	$51.29	$269.15
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 $44.67 / $87.10 / $131.83	Professional		$44.67	$87.10	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $269.15	Professional		$37.15	$77.62	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $147.91	Professional		$56.23	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $95.50	Professional		$28.84	$48.98	$95.50