Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $177.83	Professional		$30.20	$64.57	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $134.90 / $295.12	Professional		$21.38	$134.90	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $288.40	Facility		$173.78	$194.98	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $53.70 / $120.23	Professional		$17.38	$53.70	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $151.36	Facility		$34.67	$60.26	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $162.18	Professional		$93.33	$102.33	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $151.36	Facility		$34.67	$58.88	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $93.33 / $363.08	Professional		$38.02	$93.33	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $158.49	Professional		$64.57	$93.33	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $218.78	Facility		$75.86	$75.86	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $95.50 / $363.08	Professional		$16.98	$95.50	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $281.84	Professional		$107.15	$177.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $120.23	Professional		$26.30	$45.71	$120.23