Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $100.00	Professional		$43.65	$51.29	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $239.88	Professional		$51.29	$83.18	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $158.49	Professional		$60.26	$138.04	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $60.26	Facility		$19.50	$50.12	$60.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $275.42	Facility		$19.95	$60.26	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $186.21	Professional		$50.12	$81.28	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $177.83	Professional		$91.20	$134.90	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $331.13	Facility		$102.33	$102.33	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $128.82	Professional		$83.18	$112.20	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $186.21	Professional		$53.70	$89.13	$186.21