Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $302.00	Professional		$112.20	$154.88	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $676.08	Professional		$83.18	$204.17	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $537.03 / $794.33	Facility		$478.63	$537.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $501.19	Professional		$169.82	$213.80	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $446.68	Facility		$114.82	$177.83	$446.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Professional		$891.25	$891.25	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $630.96	Facility		$114.82	$199.53	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $1,202.26	Professional		$95.50	$204.17	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $512.86	Professional		$257.04	$371.54	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,047.13	Facility		$354.81	$354.81	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $741.31 / $1,202.26	Professional		$190.55	$741.31	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $323.59	Professional		$316.23	$316.23	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $912.01	Professional		$245.47	$323.59	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $316.23	Professional		$89.13	$147.91	$316.23