Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $107.15	Facility		$36.31	$52.48	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $60.26	Professional		$34.67	$34.67	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $79.43	Facility		$43.65	$43.65	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $117.49	Facility		$35.48	$67.61	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $64.57	Professional		$36.31	$44.67	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $75.86	Facility		$21.38	$33.88	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $67.61 / $67.61	Professional		$5.13	$67.61	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $75.86	Facility		$21.38	$33.88	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $54.95	Professional		$33.88	$33.88	$54.95
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 $35.48 / $38.02 / $102.33	Professional		$35.48	$38.02	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $169.82	Facility		$35.48	$35.48	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $58.88	Professional		$28.84	$47.86	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Professional		$35.48	$35.48	$47.86