Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $107.15	Professional		$67.61	$81.28	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $245.47	Professional		$60.26	$81.28	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $407.38	Facility		$208.93	$275.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $338.84	Professional		$60.26	$109.65	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $114.82	Facility		$69.18	$87.10	$114.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $125.89	Facility		$70.79	$87.10	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $524.81	Professional		$91.20	$169.82	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $245.47	Professional		$95.50	$147.91	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $562.34	Facility		$186.21	$186.21	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $524.81	Professional		$60.26	$109.65	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $269.15	Professional		$28.84	$28.84	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $295.12	Professional		$85.11	$128.82	$295.12