Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $199.53	Facility		$85.11	$120.23	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $141.25	Professional		$46.77	$58.88	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $309.03	Professional		$56.23	$93.33	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $275.42	Facility		$147.91	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $251.19	Professional		$63.10	$177.83	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $2,951.21	Facility		$57.54	$158.49	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $169.82	Professional		$104.71	$125.89	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $109.65 / $602.56	Facility		$52.48	$109.65	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $169.82 / $2,884.03	Professional		$70.79	$169.82	$2,884.03
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 $64.57 / $128.82 / $602.56	Professional		$64.57	$128.82	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $602.56	Facility		$302.00	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $741.31 / $2,884.03	Professional		$83.18	$741.31	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $354.81	Professional		$120.23	$269.15	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Facility		$933.25	$933.25	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $323.59	Professional		$61.66	$112.20	$323.59