Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $10,964.78 / $31,622.78	Facility		$30.20	$10,964.78	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $32.36	Professional		$28.84	$28.84	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $93.33	Professional		$30.20	$48.98	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $63.10 / $109.65	Facility		$30.20	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $223.87	Professional		$25.12	$30.90	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $54.95	Facility		$30.20	$30.90	$54.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $31.62 / $75.86	Facility		$30.90	$31.62	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $64.57	Professional		$30.90	$30.90	$64.57
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 $30.20 / $204.17 / $416.87	Professional		$30.20	$204.17	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $134.90	Facility		$30.20	$64.57	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $134.90	Professional		$30.20	$30.20	$134.90
Security Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Facility		$257.04	$257.04	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $257.04	Professional		$40.74	$50.12	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $114.82 / $125.89	Professional		$30.20	$114.82	$125.89