Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $47.86	Professional		$20.89	$44.67	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Professional		$53.70	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $245.47	Facility		$154.88	$177.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $83.18 / $109.65	Professional		$24.55	$83.18	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $57.54	Facility		$41.69	$47.86	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $89.13	Professional		$51.29	$69.18	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $89.13	Facility		$42.66	$53.70	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $52.48	Professional		$19.95	$28.18	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $263.03	Facility		$114.82	$114.82	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $87.10 / $288.40	Professional		$24.55	$87.10	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $42.66	Professional		$19.95	$26.30	$42.66