Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $489.78 / $707.95	Facility		$48.98	$489.78	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $208.93	Professional		$26.92	$43.65	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $169.82	Professional		$31.62	$43.65	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $165.96	Facility		$89.13	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $134.90	Professional		$47.86	$120.23	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $134.90	Facility		$30.90	$48.98	$134.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $93.33	Professional		$61.66	$77.62	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $134.90	Facility		$30.90	$48.98	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $794.33	Professional		$33.11	$64.57	$794.33
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 $44.67 / $89.13 / $331.13	Professional		$44.67	$89.13	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $537.03 / $537.03	Facility		$102.33	$537.03	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $257.04 / $794.33	Professional		$47.86	$257.04	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $245.47	Professional		$93.33	$208.93	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $138.04	Professional		$32.36	$44.67	$138.04