Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $64.57 / $64.57	Facility		$63.10	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $91.20	Professional		$63.10	$64.57	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $257.04	Professional		$66.07	$66.07	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $72.44	Facility		$26.92	$56.23	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $67.61 / $151.36	Professional		$20.42	$67.61	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $165.96	Facility		$64.57	$79.43	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $165.96	Facility		$64.57	$79.43	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Professional		$66.07	$66.07	$79.43
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 $100.00 / $181.97 / $275.42	Professional		$100.00	$181.97	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $338.84	Facility		$67.61	$67.61	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $263.03	Professional		$141.25	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $316.23 / $380.19	Professional		$66.07	$316.23	$380.19