Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $251.19 / $251.19	Facility		$109.65	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $109.65	Professional		$67.61	$79.43	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $251.19	Facility		$194.98	$245.47	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $354.81	Professional		$38.90	$45.71	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $467.74	Facility		$251.19	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $288.40	Professional		$104.71	$229.09	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $457.09 / $660.69	Facility		$100.00	$457.09	$660.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $323.59	Facility		$83.18	$117.49	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $457.09	Professional		$47.86	$67.61	$457.09
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 $147.91 / $213.80 / $302.00	Professional		$147.91	$213.80	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $436.52	Facility		$181.97	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $457.09 / $457.09	Professional		$131.83	$457.09	$457.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $691.83	Professional		$269.15	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Facility		$81.28	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $177.83	Professional		$38.90	$66.07	$177.83