Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $1,445.44	Facility		$38.90	$39.81	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $57.54	Professional		$38.90	$39.81	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $91.20	Facility		$74.13	$87.10	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $41.69 / $61.66	Professional		$19.50	$41.69	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $72.44 / $125.89	Facility		$41.69	$72.44	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $43.65	Professional		$32.36	$36.31	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $34.67 / $40.74	Facility		$19.05	$34.67	$40.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $52.48	Professional		$14.13	$14.13	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $34.67 / $43.65	Facility		$19.05	$34.67	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
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 $24.55 / $44.67 / $66.07	Professional		$24.55	$44.67	$66.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $204.17	Facility		$41.69	$41.69	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $64.57	Professional		$34.67	$34.67	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $42.66	Facility		$40.74	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Professional		$41.69	$41.69	$56.23