Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $67.61	Facility		$50.12	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $104.71	Professional		$50.12	$64.57	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $239.88	Professional		$77.62	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $223.87	Professional		$87.10	$199.53	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $93.33	Facility		$56.23	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $354.81	Facility		$57.54	$87.10	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $204.17	Professional		$74.13	$112.20	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $239.88	Professional		$125.89	$186.21	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $467.74	Facility		$147.91	$147.91	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $162.18	Professional		$109.65	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $245.47	Professional		$75.86	$125.89	$245.47