Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $69.18 / $69.18	Facility		$30.20	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $30.20	Professional		$18.20	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $69.18	Facility		$53.70	$67.61	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $97.72	Professional		$30.20	$52.48	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $128.82	Facility		$69.18	$81.28	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $77.62	Professional		$28.84	$69.18	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $75.86 / $158.49	Facility		$22.39	$75.86	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $165.96	Professional		$79.43	$138.04	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $31.62 / $87.10	Facility		$22.39	$31.62	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $69.18	Professional		$11.75	$16.60	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $83.18	Professional		$40.74	$57.54	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $120.23	Facility		$50.12	$50.12	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $125.89 / $125.89	Professional		$36.31	$125.89	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $190.55	Professional		$72.44	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Facility		$22.39	$22.39	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $38.02	Professional		$10.47	$15.14	$38.02