Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $128.82	Professional		$69.18	$89.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $426.58	Professional		$48.98	$48.98	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $407.38	Facility		$218.78	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $371.54	Professional		$56.23	$147.91	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $97.72 / $141.25	Facility		$63.10	$97.72	$141.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $309.03	Professional		$97.72	$114.82	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $190.55	Facility		$69.18	$100.00	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $741.31	Professional		$39.81	$69.18	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $363.08	Professional		$125.89	$199.53	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $741.31 / $741.31	Facility		$154.88	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $575.44 / $741.31	Professional		$57.54	$575.44	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $363.08	Professional		$338.84	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $602.56	Facility		$218.78	$218.78	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $125.89	Professional		$34.67	$52.48	$125.89