Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $117.49 / $234.42	Facility		$25.70	$117.49	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $93.33	Professional		$45.71	$57.54	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $100,000.00	Professional		$39.81	$52.48	$100,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $229.09	Facility		$141.25	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $61.66 / $75.86	Professional		$14.13	$61.66	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $95.50	Professional		$81.28	$83.18	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $89.13	Facility		$57.54	$57.54	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $141.25	Professional		$47.86	$102.33	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $70.79	Professional		$32.36	$51.29	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $60.26	Professional		$46.77	$47.86	$60.26