Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $204.17	Facility		$91.20	$177.83	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $251.19	Professional		$79.43	$102.33	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $269.15	Professional		$104.71	$138.04	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Facility		$257.04	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $302.00	Professional		$93.33	$169.82	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $194.98	Facility		$81.28	$107.15	$194.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $295.12	Professional		$169.82	$229.09	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $208.93	Facility		$81.28	$107.15	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $707.95	Professional		$112.20	$204.17	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $331.13	Professional		$125.89	$208.93	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $602.56	Facility		$177.83	$177.83	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $707.95	Professional		$91.20	$173.78	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $323.59	Professional		$154.88	$223.87	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $239.88	Professional		$97.72	$138.04	$239.88