Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $218.78 / $398.11	Facility		$69.18	$218.78	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $208.93	Professional		$39.81	$112.20	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $194.98 / $380.19	Professional		$63.10	$194.98	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $660.69	Facility		$309.03	$407.38	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $141.25 / $436.52	Professional		$50.12	$141.25	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $213.80	Facility		$41.69	$109.65	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $338.84	Professional		$75.86	$131.83	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $114.82 / $234.42	Facility		$41.69	$114.82	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $295.12 / $1,148.15	Professional		$128.82	$295.12	$1,148.15
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 $67.61 / $162.18 / $407.38	Professional		$67.61	$162.18	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $467.74 / $467.74	Facility		$95.50	$467.74	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $245.47 / $1,174.90	Professional		$44.67	$245.47	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $457.09	Professional		$61.66	$169.82	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Facility		$870.96	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $125.89 / $288.40	Professional		$43.65	$125.89	$288.40