Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $109.65	Facility		$38.02	$54.95	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $61.66	Professional		$36.31	$36.31	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $81.28	Facility		$45.71	$45.71	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Professional		$36.31	$36.31	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $44.67 / $69.18	Facility		$36.31	$44.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $67.61	Professional		$37.15	$46.77	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $77.62	Facility		$18.62	$35.48	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $70.79 / $70.79	Professional		$7.94	$70.79	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $79.43	Facility		$18.62	$36.31	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $57.54	Professional		$36.31	$36.31	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $85.11	Professional		$36.31	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $107.15	Professional		$36.31	$36.31	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $177.83	Facility		$36.31	$36.31	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $61.66	Professional		$25.12	$50.12	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Facility		$33.88	$33.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12