Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $1,318.26	Professional		$25.12	$30.90	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $102.33	Professional		$31.62	$44.67	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $58.88	Professional		$28.18	$52.48	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $63.10	Facility		$28.84	$33.11	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $87.10	Professional		$54.95	$67.61	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $1,202.26 / $2,041.74	Facility		$28.84	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $134.90	Professional		$30.20	$51.29	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $91.20	Professional		$35.48	$64.57	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $199.53	Facility		$58.88	$58.88	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $162.18 / $199.53	Professional		$28.18	$162.18	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $190.55	Professional		$72.44	$162.18	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $120.23	Professional		$28.18	$50.12	$120.23