Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $117.49	Facility		$30.90	$102.33	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $138.04	Professional		$28.18	$57.54	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $213.80	Professional		$38.90	$89.13	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $436.52 / $707.95	Facility		$380.19	$436.52	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $316.23	Professional		$38.90	$91.20	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $141.25	Facility		$28.84	$64.57	$141.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $316.23	Professional		$58.88	$107.15	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $72.44 / $229.09	Facility		$28.84	$72.44	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $707.95	Professional		$75.86	$138.04	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $128.82 / $416.87	Professional		$52.48	$128.82	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $616.60 / $616.60	Facility		$72.44	$616.60	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $331.13 / $645.65	Professional		$54.95	$331.13	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $117.49	Professional		$38.90	$38.90	$117.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $478.63	Professional		$54.95	$120.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Facility		$1,000.00	$1,000.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $79.43 / $169.82	Professional		$34.67	$79.43	$169.82