Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $131.83 / $162.18	Facility		$70.79	$131.83	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $89.13	Professional		$39.81	$50.12	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $162.18	Facility		$125.89	$158.49	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $234.42	Professional		$23.44	$23.44	$234.42
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 $67.61 / $112.20 / $181.97	Professional		$67.61	$112.20	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $234.42 / $338.84	Facility		$64.57	$234.42	$338.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $389.05	Professional		$354.81	$354.81	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $204.17	Facility		$56.23	$70.79	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $363.08	Professional		$26.30	$37.15	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $85.11	Professional		$32.36	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $194.98	Professional		$102.33	$147.91	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $275.42	Facility		$117.49	$275.42	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $295.12 / $363.08	Professional		$54.95	$295.12	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $125.89	Professional		$43.65	$43.65	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $169.82 / $323.59	Professional		$43.65	$169.82	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $70.79	Facility		$46.77	$46.77	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $95.50	Professional		$24.55	$35.48	$95.50