Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $309.03 / $602.56	Professional		$41.69	$309.03	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $758.58 / $2,137.96	Professional		$52.48	$758.58	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $389.05	Facility		$239.88	$281.84	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $165.96	Professional		$102.33	$125.89	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $371.54	Facility		$70.79	$128.82	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $389.05	Facility		$57.54	$128.82	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $229.09	Professional		$47.86	$69.18	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $281.84	Professional		$95.50	$181.97	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $3,890.45	Facility		$194.98	$194.98	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $3,890.45	Professional		$338.84	$676.08	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $309.03	Professional		$165.96	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $123.03	Professional		$47.86	$70.79	$123.03