Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $177.83	Facility		$77.62	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $77.62	Professional		$43.65	$52.48	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $223.87	Professional		$5.89	$6.92	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $331.13	Facility		$177.83	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $199.53	Professional		$74.13	$95.50	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $223.87 / $371.54	Facility		$33.11	$223.87	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $60.26 / $302.00	Facility		$33.11	$60.26	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $114.82	Professional		$32.36	$38.90	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $208.93	Professional		$83.18	$147.91	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $302.00	Facility		$128.82	$128.82	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $489.78	Professional		$186.21	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $77.62	Facility		$51.29	$51.29	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $123.03	Professional		$26.92	$38.90	$123.03