Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $97.72	Professional		$52.48	$67.61	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $316.23	Professional		$37.15	$37.15	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $281.84	Professional		$42.66	$134.90	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $162.18	Facility		$46.77	$75.86	$162.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $245.47	Professional		$95.50	$112.20	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $165.96	Facility		$51.29	$79.43	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $549.54	Professional		$33.11	$52.48	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $302.00	Professional		$93.33	$147.91	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $549.54 / $549.54	Facility		$117.49	$549.54	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $436.52 / $549.54	Professional		$42.66	$436.52	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
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 $31.62 / $43.65 / $93.33	Professional		$31.62	$43.65	$93.33