Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $128.82	Facility		$56.23	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $56.23	Professional		$32.36	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $186.21	Professional		$46.77	$54.95	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $239.88	Facility		$128.82	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $147.91	Professional		$53.70	$117.49	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $194.98 / $295.12	Facility		$47.86	$194.98	$295.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $316.23	Professional		$281.84	$281.84	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $165.96	Facility		$42.66	$56.23	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $234.42	Professional		$21.38	$28.18	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $58.88 / $85.11	Professional		$23.44	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $154.88	Professional		$75.86	$109.65	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $223.87	Facility		$93.33	$223.87	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $186.21 / $234.42	Professional		$67.61	$186.21	$234.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $354.81	Professional		$138.04	$257.04	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $56.23	Facility		$38.02	$38.02	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $77.62	Professional		$19.95	$28.18	$77.62