Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $83.18 / $165.96	Facility		$56.23	$83.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $93.33	Professional		$54.95	$54.95	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $194.98	Facility		$54.95	$112.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $102.33	Professional		$56.23	$89.13	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $60.26	Facility		$26.30	$54.95	$60.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $109.65 / $109.65	Professional		$14.79	$109.65	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $234.42	Facility		$43.65	$56.23	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $72.44	Professional		$21.88	$54.95	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $144.54	Professional		$54.95	$61.66	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $234.42	Facility		$54.95	$85.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $21.38 / $53.70	Facility		$0.54	$21.38	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $69.18	Professional		$21.88	$54.95	$69.18