Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Facility		$72.44	$72.44	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $218.78	Professional		$72.44	$87.10	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $302.00	Professional		$102.33	$186.21	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $257.04	Professional		$93.33	$177.83	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $131.83	Facility		$72.44	$87.10	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $380.19	Facility		$75.86	$102.33	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $263.03	Professional		$100.00	$151.36	$263.03
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 $165.96 / $229.09 / $316.23	Professional		$165.96	$229.09	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $537.03	Facility		$158.49	$158.49	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $114.82	Professional		$93.33	$93.33	$114.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $208.93	Professional		$138.04	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $281.84	Professional		$93.33	$158.49	$281.84