Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $234.42	Facility		$177.83	$199.53	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $177.83	Professional		$83.18	$112.20	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $549.54	Professional		$102.33	$177.83	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $467.74	Professional		$100.00	$239.88	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $1,584.89	Facility		$95.50	$177.83	$1,584.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Professional		$208.93	$245.47	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $512.86	Facility		$91.20	$134.90	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $776.25	Professional		$104.71	$204.17	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $407.38	Professional		$144.54	$281.84	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $776.25 / $776.25	Facility		$263.03	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $537.03 / $776.25	Professional		$123.03	$537.03	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $549.54 / $724.44	Professional		$181.97	$549.54	$724.44
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 $104.71 / $154.88 / $354.81	Professional		$104.71	$154.88	$354.81