Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $83.18 / $199.53	Facility		$57.54	$83.18	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $57.54	Professional		$30.90	$38.02	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $213.80	Professional		$38.02	$57.54	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $162.18	Professional		$61.66	$141.25	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $1,122.02 / $1,513.56	Facility		$38.02	$1,122.02	$1,513.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $112.20	Professional		$79.43	$93.33	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $47.86 / $1,023.29	Facility		$37.15	$47.86	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $257.04	Professional		$43.65	$85.11	$257.04
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 $66.07 / $97.72 / $169.82	Professional		$66.07	$97.72	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $257.04 / $257.04	Facility		$93.33	$257.04	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $194.98 / $257.04	Professional		$57.54	$194.98	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $302.00	Professional		$104.71	$245.47	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Facility		$1,071.52	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $173.78	Professional		$41.69	$77.62	$173.78