Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $125.89	Facility		$45.71	$100.00	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $72.44	Professional		$42.66	$54.95	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $165.96	Professional		$58.88	$87.10	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $338.84	Facility		$181.97	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $194.98	Professional		$77.62	$134.90	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $85.11	Facility		$43.65	$58.88	$85.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $186.21	Professional		$74.13	$123.03	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $89.13	Facility		$43.65	$58.88	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $426.58	Professional		$75.86	$138.04	$426.58
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 $63.10 / $109.65 / $190.55	Professional		$63.10	$109.65	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $346.74	Facility		$100.00	$100.00	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $426.58	Professional		$70.79	$173.78	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $81.28	Professional		$64.57	$64.57	$81.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $141.25	Professional		$72.44	$109.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $177.83	Professional		$66.07	$100.00	$177.83