Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $190.55	Facility		$81.28	$151.36	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $91.20	Professional		$43.65	$56.23	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $190.55	Facility		$147.91	$186.21	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $275.42	Professional		$27.54	$27.54	$275.42
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 $79.43 / $165.96 / $213.80	Professional		$79.43	$165.96	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $346.74	Facility		$75.86	$245.47	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $457.09	Professional		$407.38	$407.38	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $239.88	Facility		$61.66	$83.18	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $338.84	Professional		$29.51	$40.74	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $70.79	Professional		$47.86	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $223.87	Professional		$114.82	$162.18	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $323.59 / $323.59	Facility		$138.04	$323.59	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $338.84 / $338.84	Professional		$83.18	$338.84	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $144.54	Professional		$44.67	$44.67	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $371.54	Professional		$44.67	$44.67	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $83.18	Facility		$54.95	$54.95	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $104.71	Professional		$28.84	$40.74	$104.71