Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $3,090.30	Facility		$51.29	$190.55	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $309.03	Professional		$52.48	$107.15	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $281.84	Professional		$81.28	$125.89	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $562.34	Facility		$295.12	$346.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $512.86	Professional		$93.33	$218.78	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $3,162.28	Facility		$57.54	$128.82	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $302.00	Professional		$95.50	$194.98	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $1,659.59	Facility		$57.54	$144.54	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $851.14	Professional		$125.89	$229.09	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $416.87	Professional		$93.33	$199.53	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $346.74	Facility		$134.90	$134.90	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $269.15 / $851.14	Professional		$100.00	$269.15	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $660.69	Professional		$263.03	$426.58	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $407.38	Professional		$69.18	$147.91	$407.38