Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $69.18	Professional		$33.88	$38.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $186.21	Professional		$39.81	$66.07	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $123.03	Professional		$47.86	$109.65	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $38.90 / $46.77	Facility		$14.45	$38.90	$46.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $46.77 / $218.78	Facility		$15.14	$46.77	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $141.25	Professional		$38.90	$63.10	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $64.57	Professional		$32.36	$39.81	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $141.25	Professional		$70.79	$104.71	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $257.04	Facility		$79.43	$79.43	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $87.10	Professional		$58.88	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $141.25	Professional		$41.69	$69.18	$141.25