Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $199.53	Facility		$79.43	$112.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $173.78	Professional		$42.66	$66.07	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $269.15	Professional		$48.98	$81.28	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $275.42	Facility		$147.91	$169.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $125.89 / $218.78	Professional		$46.77	$125.89	$218.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $97.72 / $295.12	Facility		$46.77	$97.72	$295.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $162.18	Professional		$97.72	$117.49	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $223.87	Facility		$46.77	$81.28	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $354.81	Professional		$44.67	$83.18	$354.81
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 $58.88 / $138.04 / $204.17	Professional		$58.88	$138.04	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $363.08 / $363.08	Facility		$125.89	$363.08	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $251.19 / $354.81	Professional		$56.23	$251.19	$354.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $338.84 / $436.52	Professional		$64.57	$338.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $165.96	Professional		$46.77	$70.79	$165.96