Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $199.53	Facility		$112.20	$194.98	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $112.20	Professional		$61.66	$79.43	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $416.87	Professional		$74.13	$114.82	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $389.05	Facility		$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $309.03	Professional		$134.90	$275.42	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,454.71 / $3,388.44	Facility		$89.13	$2,454.71	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $263.03	Professional		$186.21	$218.78	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $1,380.38	Facility		$87.10	$114.82	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $741.31	Professional		$87.10	$199.53	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $436.52	Professional		$158.49	$275.42	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,659.59	Facility		$1,122.02	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $416.87 / $741.31	Professional		$134.90	$416.87	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $575.44	Professional		$245.47	$478.63	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Facility		$1,445.44	$1,445.44	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $338.84	Professional		$85.11	$177.83	$338.84