Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $162.18 / $165.96	Facility		$77.62	$162.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $398.11	Professional		$75.86	$93.33	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $263.03	Professional		$104.71	$128.82	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $436.52	Facility		$234.42	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $316.23	Professional		$83.18	$190.55	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $177.83	Facility		$69.18	$87.10	$177.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $263.03	Professional		$177.83	$218.78	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $177.83	Facility		$69.18	$91.20	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $676.08	Professional		$107.15	$186.21	$676.08
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 $125.89 / $213.80 / $295.12	Professional		$125.89	$213.80	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $676.08 / $676.08	Facility		$165.96	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $676.08	Professional		$83.18	$190.55	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $199.53	Professional		$151.36	$181.97	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $302.00	Professional		$104.71	$158.49	$302.00