Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $199.53	Facility		$44.67	$44.67	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $81.28	Professional		$44.67	$67.61	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $331.13	Professional		$56.23	$102.33	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $194.98	Facility		$104.71	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $158.49	Professional		$44.67	$141.25	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $87.10	Facility		$42.66	$67.61	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $151.36	Facility		$44.67	$69.18	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $436.52	Professional		$48.98	$93.33	$436.52
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 $104.71 / $186.21 / $269.15	Professional		$104.71	$186.21	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $436.52	Facility		$186.21	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $436.52	Professional		$338.84	$436.52	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $263.03 / $263.03	Professional		$43.65	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $162.18	Professional		$48.98	$87.10	$162.18