Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $81.28	Facility		$34.67	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $34.67	Professional		$21.88	$23.99	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $81.28	Facility		$63.10	$79.43	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $117.49	Professional		$14.45	$14.45	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $93.33	Professional		$34.67	$74.13	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $134.90 / $190.55	Facility		$32.36	$134.90	$190.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $194.98	Professional		$177.83	$177.83	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $104.71	Facility		$26.92	$38.02	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.95 / $147.91	Professional		$13.80	$19.95	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $97.72	Professional		$47.86	$69.18	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $141.25	Facility		$58.88	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $147.91 / $147.91	Professional		$42.66	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $223.87	Professional		$85.11	$162.18	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $35.48	Facility		$26.30	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $53.70	Professional		$12.30	$19.95	$53.70