Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $199.53	Facility		$125.89	$169.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $131.83	Professional		$64.57	$81.28	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $407.38	Professional		$79.43	$125.89	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $416.87	Facility		$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $338.84	Professional		$83.18	$173.78	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $1,698.24	Facility		$74.13	$151.36	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $234.42	Professional		$151.36	$177.83	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $371.54	Facility		$72.44	$125.89	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $616.60	Professional		$83.18	$181.97	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $436.52	Professional		$104.71	$204.17	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $549.54 / $549.54	Facility		$190.55	$549.54	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $389.05 / $630.96	Professional		$117.49	$389.05	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $389.05 / $512.86	Professional		$173.78	$389.05	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Facility		$630.96	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $275.42	Professional		$81.28	$123.03	$275.42