Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $275.42	Facility		$77.62	$77.62	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $208.93	Professional		$61.66	$75.86	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $229.09	Professional		$70.79	$104.71	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $218.78 / $316.23	Facility		$64.57	$218.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $263.03	Professional		$91.20	$190.55	$263.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $151.36	Facility		$60.26	$79.43	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $208.93	Professional		$131.83	$151.36	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $812.83	Facility		$58.88	$89.13	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $562.34	Professional		$75.86	$128.82	$562.34
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 $79.43 / $169.82 / $275.42	Professional		$79.43	$169.82	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $173.78 / $812.83	Facility		$64.57	$173.78	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $416.87 / $575.44	Professional		$91.20	$416.87	$575.44
Security Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $229.09	Professional		$141.25	$213.80	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $229.09	Professional		$67.61	$107.15	$229.09