Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Professional		$70.79	$70.79	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $478.63	Professional		$169.82	$281.84	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $346.74	Facility		$70.79	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $223.87	Professional		$70.79	$93.33	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $154.88	Facility		$70.79	$72.44	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $302.00	Facility		$70.79	$72.44	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $302.00	Professional		$70.79	$70.79	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $446.68	Professional		$70.79	$204.17	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $257.04 / $323.59	Facility		$70.79	$257.04	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $346.74	Professional		$70.79	$79.43	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $251.19	Professional		$125.89	$134.90	$251.19