Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $39.81	Professional		$37.15	$38.02	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $776.25	Professional		$123.03	$323.59	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $147.91 / $181.97	Professional		$39.81	$147.91	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Facility		$38.02	$39.81	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $79.43	Facility		$38.02	$39.81	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $177.83	Professional		$38.90	$38.90	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $446.68	Professional		$141.25	$275.42	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $141.25	Facility		$39.81	$64.57	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $213.80	Professional		$39.81	$39.81	$213.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $331.13	Professional		$165.96	$302.00	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $125.89	Professional		$38.90	$107.15	$125.89