Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $436.52 / $645.65	Facility		$158.49	$436.52	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $134.90	Professional		$39.81	$40.74	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $147.91	Facility		$39.81	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $128.82	Professional		$39.81	$51.29	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $40.74 / $57.54	Facility		$38.02	$40.74	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $81.28	Professional		$34.67	$45.71	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $128.82	Facility		$40.74	$53.70	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $794.33	Professional		$40.74	$40.74	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $70.79	Professional		$33.11	$40.74	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $123.03	Professional		$39.81	$60.26	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $181.97	Facility		$39.81	$85.11	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $794.33	Professional		$39.81	$75.86	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $66.07	Professional		$36.31	$53.70	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Professional		$39.81	$39.81	$56.23