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 $57.54 / $89.13 / $229.09	Professional		$57.54	$89.13	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $478.63	Professional		$83.18	$128.82	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $446.68 / $512.86	Professional		$97.72	$446.68	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $812.83 / $1,122.02	Facility		$100.00	$812.83	$1,122.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $147.91	Professional		$125.89	$131.83	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $1,479.11	Facility		$79.43	$125.89	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $1,230.27	Professional		$107.15	$245.47	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $371.54	Professional		$158.49	$229.09	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $812.83	Facility		$204.17	$204.17	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,230.27	Professional		$724.44	$1,230.27	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,737.80	Professional		$1,698.24	$1,698.24	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $398.11	Professional		$95.50	$173.78	$398.11