Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $109.65	Professional		$57.54	$79.43	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $371.54	Professional		$41.69	$41.69	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $338.84	Facility		$181.97	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $316.23	Professional		$85.11	$104.71	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $114.82	Facility		$44.67	$67.61	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $426.58	Facility		$44.67	$69.18	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $58.88 / $158.49	Professional		$27.54	$58.88	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $263.03	Professional		$91.20	$186.21	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $630.96	Facility		$131.83	$131.83	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $50.12	Professional		$33.11	$33.11	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $457.09	Facility		$53.70	$114.82	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $177.83	Professional		$35.48	$58.88	$177.83