Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $29,512.09	Facility		$63.10	$123.03	$29,512.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $12,022.64	Professional		$60.26	$61.66	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $134.90	Facility		$75.86	$75.86	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $234.42	Facility		$61.66	$97.72	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $112.20	Professional		$61.66	$63.10	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $69.18	Facility		$61.66	$63.10	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $123.03	Professional		$70.79	$123.03	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $89.13	Facility		$63.10	$63.10	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $281.84	Professional		$63.10	$70.79	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $107.15	Professional		$50.12	$70.79	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $199.53	Professional		$61.66	$97.72	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $309.03	Facility		$61.66	$61.66	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $281.84	Professional		$61.66	$95.50	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Professional		$81.28	$81.28	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $63.10	Facility		$61.66	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $72.44	Professional		$61.66	$64.57	$72.44