Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $316.23	Facility		$91.20	$97.72	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $120.23	Professional		$77.62	$91.20	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $309.03	Professional		$91.20	$138.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Facility		$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $295.12	Professional		$104.71	$204.17	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $177.83	Facility		$77.62	$95.50	$177.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $251.19	Professional		$151.36	$177.83	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $288.40	Facility		$74.13	$100.00	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $575.44	Professional		$97.72	$165.96	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $281.84	Professional		$102.33	$181.97	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $537.03 / $537.03	Facility		$199.53	$537.03	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $281.84 / $575.44	Professional		$89.13	$281.84	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82
Security Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $436.52 / $512.86	Professional		$114.82	$436.52	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $295.12	Professional		$89.13	$131.83	$295.12