Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $81.28	Professional		$50.12	$66.07	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $213.80	Professional		$67.61	$87.10	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $295.12	Facility		$181.97	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $199.53	Professional		$61.66	$77.62	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $138.04	Facility		$60.26	$72.44	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $199.53	Professional		$100.00	$144.54	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $147.91	Facility		$61.66	$74.13	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $436.52	Professional		$69.18	$109.65	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $213.80	Professional		$79.43	$141.25	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $436.52 / $436.52	Facility		$128.82	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.91 / $436.52	Professional		$61.66	$147.91	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Security Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $141.25	Professional		$85.11	$120.23	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $190.55	Professional		$66.07	$95.50	$190.55