Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Professional		$38.02	$38.02	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $77.62	Facility		$64.57	$74.13	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $117.49	Facility		$40.74	$67.61	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $53.70	Professional		$33.11	$41.69	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Facility		$30.20	$30.20	$34.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Facility		$30.20	$30.20	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Professional		$36.31	$36.31	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $162.18	Facility		$40.74	$40.74	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95