Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $169.82 / $169.82	Facility		$74.13	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $74.13	Professional		$43.65	$50.12	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $169.82	Facility		$134.90	$165.96	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $234.42	Professional		$28.84	$28.84	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $316.23	Facility		$169.82	$199.53	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $123.03	Professional		$33.11	$81.28	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $134.90 / $467.74	Facility		$32.36	$134.90	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $134.90	Facility		$32.36	$64.57	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $131.83	Professional		$33.88	$47.86	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $85.11	Professional		$30.90	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $204.17	Professional		$70.79	$144.54	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $295.12	Facility		$123.03	$123.03	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $131.83	Professional		$60.26	$60.26	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $338.84 / $416.87	Professional		$60.26	$338.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $74.13	Facility		$43.65	$51.29	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $138.04	Professional		$28.18	$47.86	$138.04