Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $199.53	Facility		$128.82	$173.78	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $131.83	Professional		$54.95	$81.28	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $407.38	Professional		$74.13	$131.83	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $436.52	Facility		$234.42	$269.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $346.74	Professional		$72.44	$181.97	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $512.86	Facility		$67.61	$117.49	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $234.42	Professional		$154.88	$181.97	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $380.19	Facility		$57.54	$93.33	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $575.44	Professional		$70.79	$138.04	$575.44
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 $107.15 / $204.17 / $302.00	Professional		$107.15	$204.17	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $575.44 / $575.44	Facility		$218.78	$575.44	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $398.11 / $575.44	Professional		$89.13	$398.11	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $537.03	Professional		$134.90	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $616.60	Facility		$467.74	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $257.04	Professional		$70.79	$107.15	$257.04