Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $144.54	Professional		$14.45	$14.45	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $162.18	Facility		$87.10	$107.15	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $112.20	Professional		$37.15	$50.12	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $151.36 / $229.09	Facility		$36.31	$151.36	$229.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $239.88	Professional		$213.80	$213.80	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $125.89	Facility		$36.31	$42.66	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $177.83	Professional		$17.78	$21.38	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $64.57 / $85.11	Professional		$17.78	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $117.49	Professional		$58.88	$85.11	$117.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $169.82	Facility		$72.44	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $177.83	Professional		$52.48	$144.54	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $75.86	Professional		$36.31	$36.31	$75.86
Security Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $194.98	Professional		$36.31	$36.31	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $42.66	Facility		$28.84	$28.84	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $58.88	Professional		$15.14	$21.38	$58.88