Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $114.82	Professional		$38.90	$45.71	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $144.54 / $331.13	Professional		$21.38	$144.54	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $275.42	Facility		$165.96	$186.21	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $60.26 / $141.25	Professional		$24.55	$60.26	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $61.66 / $147.91	Facility		$41.69	$61.66	$147.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $158.49	Professional		$125.89	$138.04	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $147.91	Facility		$41.69	$58.88	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $331.13	Professional		$40.74	$85.11	$331.13
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 $69.18 / $112.20 / $151.36	Professional		$69.18	$112.20	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $295.12	Facility		$87.10	$87.10	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $72.44 / $331.13	Professional		$23.44	$72.44	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $346.74	Professional		$165.96	$269.15	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $144.54	Professional		$31.62	$51.29	$144.54