Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $537.03	Professional		$95.50	$154.88	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $181.97 / $537.03	Professional		$66.07	$181.97	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $630.96	Facility		$371.54	$426.58	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $398.11	Professional		$134.90	$169.82	$398.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $478.63	Facility		$87.10	$141.25	$478.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Professional		$691.83	$691.83	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $501.19	Facility		$87.10	$141.25	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $954.99	Professional		$87.10	$165.96	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $407.38	Professional		$173.78	$275.42	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $562.34	Facility		$275.42	$275.42	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $588.84 / $954.99	Professional		$151.36	$588.84	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $724.44	Professional		$229.09	$229.09	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $251.19	Professional		$69.18	$117.49	$251.19