Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $363.08	Facility		$30.20	$57.54	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $50.12	Professional		$28.84	$28.84	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $112.20	Facility		$28.84	$64.57	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $53.70	Professional		$28.84	$37.15	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $66.07	Facility		$30.20	$30.20	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $60.26 / $60.26	Professional		$2.69	$60.26	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $60.26 / $151.36	Facility		$27.54	$60.26	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $46.77	Professional		$27.54	$27.54	$46.77
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 $28.84 / $31.62 / $95.50	Professional		$28.84	$31.62	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $181.97	Facility		$28.84	$28.84	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $48.98	Professional		$31.62	$31.62	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $43.65	Professional		$28.84	$28.84	$43.65