Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $91.20	Professional		$47.86	$61.66	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $208.93	Professional		$60.26	$114.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $194.98	Facility		$51.29	$112.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $114.82	Professional		$54.95	$102.33	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $77.62	Facility		$45.71	$58.88	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $316.23	Facility		$46.77	$77.62	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $40.74	Professional		$10.96	$14.45	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $194.98	Professional		$95.50	$141.25	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $389.05	Facility		$51.29	$112.20	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $138.04	Professional		$107.15	$125.89	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.89 / $57.54	Facility		$0.15	$5.89	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $18.62	Professional		$5.01	$12.59	$18.62