Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $199.53 / $251.19	Facility		$181.97	$199.53	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $181.97	Professional		$97.72	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $645.65	Professional		$117.49	$181.97	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $489.78	Professional		$173.78	$380.19	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,380.38 / $2,089.30	Facility		$131.83	$1,380.38	$2,089.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $331.13	Professional		$239.88	$275.42	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $512.86	Facility		$112.20	$181.97	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $1,122.02	Professional		$147.91	$316.23	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $524.81	Professional		$190.55	$338.84	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $758.58 / $758.58	Facility		$275.42	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $660.69 / $1,122.02	Professional		$194.98	$660.69	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $933.25	Professional		$446.68	$724.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Facility		$616.60	$616.60	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $537.03	Professional		$131.83	$251.19	$537.03