Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $95.50	Facility		$33.11	$47.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $56.23	Professional		$30.90	$31.62	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $40.74	Professional		$31.62	$31.62	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $77.62	Facility		$28.84	$44.67	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $58.88	Professional		$32.36	$40.74	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $32.36 / $70.79	Facility		$23.44	$32.36	$70.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $64.57 / $64.57	Professional		$11.75	$64.57	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $151.36	Facility		$23.44	$31.62	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $64.57	Professional		$31.62	$31.62	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $95.50	Professional		$31.62	$34.67	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $151.36	Facility		$31.62	$31.62	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Professional		$42.66	$42.66	$52.48
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 $31.62 / $31.62 / $47.86	Professional		$31.62	$31.62	$47.86