Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $47.86	Professional		$26.92	$39.81	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $128.82	Professional		$40.74	$64.57	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $79.43	Professional		$38.90	$51.29	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $61.66	Facility		$35.48	$41.69	$61.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $128.82	Professional		$81.28	$100.00	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $61.66	Facility		$35.48	$41.69	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $257.04	Professional		$42.66	$77.62	$257.04
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 $52.48 / $93.33 / $131.83	Professional		$52.48	$93.33	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $257.04 / $257.04	Facility		$83.18	$257.04	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.18 / $257.04	Professional		$38.90	$83.18	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $154.88	Professional		$63.10	$114.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $144.54	Professional		$40.74	$67.61	$144.54