Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $204.17	Facility		$165.96	$199.53	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $177.83	Professional		$77.62	$104.71	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $549.54	Professional		$102.33	$165.96	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $512.86	Facility		$275.42	$316.23	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $407.38	Professional		$102.33	$234.42	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $1,698.24	Facility		$95.50	$165.96	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $295.12	Professional		$181.97	$218.78	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $446.68	Facility		$93.33	$158.49	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $741.31	Professional		$104.71	$208.93	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $407.38	Professional		$125.89	$251.19	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $741.31 / $741.31	Facility		$229.09	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $537.03 / $741.31	Professional		$125.89	$537.03	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $691.83	Professional		$204.17	$537.03	$691.83
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 $102.33 / $158.49 / $371.54	Professional		$102.33	$158.49	$371.54