Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $199.53	Facility		$128.82	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $389.05	Professional		$72.44	$89.13	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $457.09	Professional		$83.18	$128.82	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $501.19	Facility		$263.03	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $389.05	Professional		$125.89	$346.74	$389.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $120.23 / $194.98	Facility		$33.11	$120.23	$194.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $120.23 / $190.55	Facility		$33.11	$120.23	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $794.33	Professional		$91.20	$147.91	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $100.00	Professional		$32.36	$51.29	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $354.81	Professional		$120.23	$208.93	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $741.31 / $741.31	Facility		$199.53	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $446.68 / $794.33	Professional		$123.03	$446.68	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $741.31	Professional		$446.68	$616.60	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $331.13	Professional		$91.20	$120.23	$331.13