Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $85.11	Facility		$29.51	$42.66	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $48.98	Professional		$28.18	$28.18	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Facility		$35.48	$35.48	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $36.31	Professional		$28.18	$28.18	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $58.88 / $102.33	Facility		$28.18	$58.88	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $52.48	Professional		$28.84	$36.31	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.84 / $63.10	Facility		$21.88	$28.84	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $57.54	Professional		$42.66	$57.54	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.84 / $63.10	Facility		$21.88	$28.84	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $45.71	Professional		$28.84	$28.84	$45.71
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 $28.18 / $30.90 / $85.11	Professional		$28.18	$30.90	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $144.54	Facility		$28.18	$28.18	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $47.86	Professional		$29.51	$38.90	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.84 / $28.84	Facility		$28.18	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Professional		$28.18	$28.18	$38.90