Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $363.08	Facility		$104.71	$104.71	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $141.25	Professional		$87.10	$100.00	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $331.13	Professional		$100.00	$138.04	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $295.12 / $416.87	Facility		$64.57	$295.12	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $371.54	Professional		$117.49	$181.97	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $204.17	Facility		$83.18	$104.71	$204.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $275.42	Professional		$109.65	$181.97	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $436.52	Facility		$81.28	$117.49	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $616.60	Professional		$89.13	$162.18	$616.60
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 $107.15 / $223.87 / $323.59	Professional		$107.15	$223.87	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $229.09 / $616.60	Facility		$64.57	$229.09	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $512.86 / $616.60	Professional		$109.65	$512.86	$616.60
Security Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $549.54	Professional		$239.88	$501.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $323.59	Professional		$89.13	$138.04	$323.59