Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $61.66	Facility		$36.31	$36.31	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $45.71	Professional		$30.20	$38.02	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $123.03	Professional		$38.02	$61.66	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $199.53	Facility		$107.15	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $114.82	Professional		$36.31	$46.77	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $39.81 / $57.54	Facility		$35.48	$39.81	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $120.23	Professional		$74.13	$93.33	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $57.54	Facility		$33.88	$39.81	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $338.84	Professional		$38.90	$67.61	$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 $46.77 / $85.11 / $120.23	Professional		$46.77	$85.11	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $234.42 / $234.42	Facility		$75.86	$234.42	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $102.33 / $338.84	Professional		$36.31	$102.33	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $134.90	Professional		$70.79	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $131.83	Professional		$38.02	$60.26	$131.83