Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $204.17	Facility		$95.50	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $251.19	Professional		$89.13	$100.00	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $489.78	Professional		$102.33	$194.98	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Facility		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $363.08	Professional		$162.18	$316.23	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,630.27 / $5,128.61	Facility		$100.00	$2,630.27	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $309.03	Professional		$177.83	$245.47	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,818.38 / $9,549.93	Facility		$100.00	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $562.34	Professional		$104.71	$186.21	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $134.90	Professional		$32.36	$50.12	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $371.54	Professional		$109.65	$218.78	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,288.25	Facility		$257.04	$257.04	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $501.19 / $1,621.81	Professional		$181.97	$501.19	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $741.31	Professional		$416.87	$549.54	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $19,498.45	Facility		$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $416.87	Professional		$87.10	$158.49	$416.87