Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $158.49	Facility		$54.95	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $70.79	Professional		$52.48	$52.48	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Facility		$66.07	$66.07	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $138.04	Facility		$53.70	$75.86	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $107.15	Professional		$53.70	$54.95	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $58.88	Facility		$52.48	$52.48	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $120.23	Professional		$54.95	$104.71	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $58.88	Facility		$52.48	$52.48	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $1,778.28	Professional		$52.48	$57.54	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $158.49	Professional		$53.70	$83.18	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $263.03	Facility		$53.70	$53.70	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $1,778.28	Professional		$53.70	$75.86	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $89.13	Professional		$47.86	$72.44	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $53.70	Facility		$51.29	$51.29	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $61.66	Professional		$53.70	$56.23	$61.66