Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $199.53	Facility		$100.00	$138.04	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $109.65	Professional		$54.95	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $380.19	Professional		$66.07	$102.33	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $354.81	Facility		$186.21	$218.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $275.42	Professional		$102.33	$245.47	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $144.54	Facility		$61.66	$87.10	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $204.17	Professional		$131.83	$154.88	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $144.54	Facility		$61.66	$91.20	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $501.19	Professional		$77.62	$147.91	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $331.13	Professional		$117.49	$186.21	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $467.74 / $467.74	Facility		$154.88	$467.74	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $371.54 / $501.19	Professional		$95.50	$371.54	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $575.44	Professional		$186.21	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $302.00	Professional		$77.62	$134.90	$302.00