Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $281.84	Facility		$66.07	$75.86	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $112.20	Professional		$54.95	$67.61	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $223.87	Professional		$61.66	$87.10	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $371.54	Facility		$190.55	$251.19	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $138.04 / $251.19	Professional		$52.48	$138.04	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $100.00	Facility		$60.26	$72.44	$100.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $112.20	Facility		$60.26	$72.44	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $446.68	Professional		$58.88	$112.20	$446.68
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 $81.28 / $120.23 / $204.17	Professional		$81.28	$120.23	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $389.05	Facility		$154.88	$154.88	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $446.68	Professional		$50.12	$83.18	$446.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $257.04	Professional		$72.44	$128.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $63.10 / $63.10	Facility		$56.23	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $218.78	Professional		$60.26	$93.33	$218.78