Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $181.97 / $186.21	Facility		$52.48	$181.97	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $87.10	Professional		$19.95	$33.88	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $134.90	Professional		$4.57	$4.57	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $223.87	Facility		$120.23	$141.25	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $134.90	Professional		$50.12	$109.65	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $181.97 / $275.42	Facility		$47.86	$181.97	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $151.36	Facility		$38.90	$54.95	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $158.49	Professional		$21.88	$27.54	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $70.79	Professional		$21.88	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $144.54	Professional		$70.79	$102.33	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $204.17	Facility		$87.10	$204.17	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $218.78	Professional		$63.10	$173.78	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $93.33	Professional		$43.65	$43.65	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $239.88	Professional		$43.65	$43.65	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $52.48	Facility		$34.67	$34.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $72.44	Professional		$18.20	$26.30	$72.44