Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $199.53	Facility		$56.23	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $60.26	Professional		$28.18	$36.31	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $181.97	Professional		$34.67	$56.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $190.55	Facility		$102.33	$120.23	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $87.10 / $151.36	Professional		$37.15	$87.10	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $288.40	Facility		$32.36	$63.10	$288.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $112.20	Professional		$67.61	$81.28	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $223.87	Facility		$31.62	$56.23	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $245.47	Professional		$36.31	$69.18	$245.47
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 $47.86 / $93.33 / $138.04	Professional		$47.86	$93.33	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $363.08 / $363.08	Facility		$114.82	$363.08	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $190.55 / $245.47	Professional		$40.74	$190.55	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $234.42	Professional		$77.62	$169.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $120.23	Professional		$36.31	$53.70	$120.23