Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $154.88 / $407.38	Facility		$21.38	$154.88	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $107.15	Professional		$19.95	$32.36	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $26.30	Professional		$20.42	$20.42	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $52.48 / $91.20	Facility		$20.42	$52.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $38.02	Professional		$20.89	$26.30	$38.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $56.23	Facility		$25.12	$25.12	$56.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $51.29	Professional		$38.02	$51.29	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $275.42	Facility		$28.18	$28.18	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $51.29	Professional		$28.18	$28.18	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $75.86	Professional		$20.42	$22.39	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $147.91	Facility		$20.42	$20.42	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $53.70	Professional		$21.88	$21.88	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Professional		$20.42	$20.42	$33.11