Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $208.93	Facility		$72.44	$104.71	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $117.49	Professional		$69.18	$69.18	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $154.88	Facility		$87.10	$87.10	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $186.21	Facility		$69.18	$107.15	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Professional		$70.79	$89.13	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $66.07	Facility		$46.77	$66.07	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $131.83 / $131.83	Professional		$41.69	$131.83	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $72.44 / $72.44	Facility		$46.77	$72.44	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $112.20	Professional		$72.44	$79.43	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $213.80	Professional		$69.18	$74.13	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $331.13	Facility		$69.18	$69.18	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $117.49	Professional		$42.66	$95.50	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $69.18	Facility		$64.57	$64.57	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $104.71	Professional		$69.18	$77.62	$104.71