Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $186.21	Professional		$81.28	$81.28	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $181.97 / $316.23	Facility		$63.10	$181.97	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $223.87	Professional		$63.10	$81.28	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $64.57 / $114.82	Facility		$63.10	$64.57	$114.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $141.25	Facility		$60.26	$61.66	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $125.89	Professional		$60.26	$60.26	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $229.09 / $416.87	Professional		$63.10	$229.09	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $263.03	Facility		$63.10	$85.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $288.40	Professional		$63.10	$70.79	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Professional		$85.11	$85.11	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $125.89	Professional		$81.28	$120.23	$125.89