Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $12,022.64 / $14,125.38	Facility		$57.54	$12,022.64	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $74.13	Professional		$54.95	$54.95	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $123.03	Facility		$102.33	$120.23	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $147.91	Facility		$54.95	$85.11	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $102.33	Professional		$54.95	$57.54	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $257.04	Professional		$79.43	$79.43	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $112.20	Facility		$77.62	$77.62	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $316.23	Professional		$77.62	$87.10	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $77.62	Professional		$50.12	$64.57	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $208.93	Professional		$52.48	$100.00	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $457.09	Facility		$54.95	$54.95	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $316.23	Professional		$54.95	$107.15	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $74.13	Facility		$54.95	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $74.13	Professional		$54.95	$58.88	$74.13