Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $251.19	Facility		$45.71	$58.88	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Professional		$50.12	$61.66	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $204.17	Professional		$54.95	$72.44	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $380.19	Facility		$190.55	$257.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $245.47	Professional		$48.98	$87.10	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $104.71	Facility		$61.66	$70.79	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $104.71	Facility		$61.66	$70.79	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $102.33 / $446.68	Professional		$6.92	$102.33	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $199.53	Professional		$81.28	$120.23	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $389.05	Facility		$158.49	$158.49	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $446.68	Professional		$47.86	$63.10	$446.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $213.80	Professional		$83.18	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.76 / $56.23	Facility		$4.57	$7.76	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $89.13 / $208.93	Professional		$6.92	$89.13	$208.93