Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $218.78	Facility		$93.33	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $93.33	Professional		$54.95	$64.57	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $275.42	Professional		$26.92	$31.62	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $407.38	Facility		$218.78	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $245.47	Professional		$83.18	$104.71	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $323.59 / $457.09	Facility		$81.28	$323.59	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $275.42	Facility		$70.79	$107.15	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $398.11	Professional		$35.48	$47.86	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $79.43	Professional		$39.81	$64.57	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $263.03	Professional		$128.82	$186.21	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $371.54	Facility		$158.49	$371.54	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $398.11 / $398.11	Professional		$114.82	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $602.56	Professional		$229.09	$426.58	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $131.83	Professional		$33.11	$47.86	$131.83