Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $794.33	Facility		$54.95	$93.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $112.20	Professional		$45.71	$53.70	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $181.97	Professional		$51.29	$83.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $251.19	Facility		$134.90	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $181.97	Professional		$54.95	$120.23	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $102.33	Facility		$48.98	$58.88	$102.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $138.04	Professional		$87.10	$104.71	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $107.15	Facility		$48.98	$58.88	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $331.13	Professional		$61.66	$125.89	$331.13
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 $64.57 / $107.15 / $158.49	Professional		$64.57	$107.15	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $323.59	Facility		$114.82	$114.82	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $165.96 / $331.13	Professional		$53.70	$165.96	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $257.04 / $288.40	Professional		$102.33	$257.04	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Facility		$251.19	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $186.21	Professional		$54.95	$89.13	$186.21