Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $269.15 / $537.03	Facility		$100.00	$269.15	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $371.54	Professional		$75.86	$87.10	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $281.84	Professional		$77.62	$112.20	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $389.05	Facility		$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $234.42	Professional		$91.20	$173.78	$234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $162.18	Facility		$74.13	$95.50	$162.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $239.88	Professional		$144.54	$165.96	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $162.18	Facility		$74.13	$89.13	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $512.86	Professional		$91.20	$151.36	$512.86
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 $97.72 / $190.55 / $269.15	Professional		$97.72	$190.55	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $512.86	Facility		$134.90	$186.21	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $512.86	Professional		$87.10	$169.82	$512.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $309.03	Professional		$134.90	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $288.40	Professional		$89.13	$134.90	$288.40