Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $147.91	Professional		$50.12	$83.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $323.59	Professional		$112.20	$162.18	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $112.20	Professional		$67.61	$87.10	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $134.90	Facility		$54.95	$74.13	$134.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $218.78	Facility		$57.54	$81.28	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $218.78 / $1,023.29	Professional		$52.48	$218.78	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $213.80	Professional		$70.79	$151.36	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $707.95 / $707.95	Facility		$147.91	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,023.29 / $1,023.29	Professional		$275.42	$1,023.29	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $213.80	Professional		$120.23	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Facility		$812.83	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $199.53 / $549.54	Professional		$51.29	$199.53	$549.54