Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $204.17	Facility		$51.29	$181.97	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $128.82	Professional		$44.67	$52.48	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $173.78	Professional		$48.98	$79.43	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $239.88	Facility		$128.82	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $173.78	Professional		$52.48	$112.20	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $100.00	Facility		$46.77	$57.54	$100.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $134.90	Professional		$85.11	$102.33	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $100.00	Facility		$46.77	$57.54	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $316.23	Professional		$58.88	$120.23	$316.23
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 $66.07 / $107.15 / $162.18	Professional		$66.07	$107.15	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $309.03	Facility		$112.20	$112.20	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $158.49 / $316.23	Professional		$52.48	$158.49	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $275.42	Professional		$100.00	$245.47	$275.42
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 $52.48 / $85.11 / $177.83	Professional		$52.48	$85.11	$177.83