Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $229.09	Facility		$100.00	$186.21	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $125.89	Professional		$58.88	$74.13	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $229.09	Facility		$177.83	$223.87	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $331.13	Professional		$33.11	$33.11	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $426.58	Facility		$229.09	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $257.04	Professional		$95.50	$199.53	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $338.84 / $489.78	Facility		$91.20	$338.84	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $549.54	Professional		$501.19	$501.19	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $288.40	Facility		$74.13	$100.00	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $416.87	Professional		$37.15	$50.12	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $398.11	Facility		$338.84	$398.11	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $416.87 / $416.87	Professional		$100.00	$416.87	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $177.83	Professional		$63.10	$63.10	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $457.09	Professional		$63.10	$63.10	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $100.00	Facility		$66.07	$66.07	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $131.83	Professional		$34.67	$50.12	$131.83