Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $117.49	Facility		$46.77	$91.20	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $81.28	Professional		$39.81	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $144.54	Professional		$50.12	$75.86	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $309.03	Facility		$162.18	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $177.83	Professional		$70.79	$134.90	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $77.62	Facility		$44.67	$57.54	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $173.78	Professional		$69.18	$114.82	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $89.13	Facility		$45.71	$58.88	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $389.05	Professional		$72.44	$128.82	$389.05
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 $58.88 / $97.72 / $173.78	Professional		$58.88	$97.72	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $309.03	Facility		$93.33	$93.33	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $389.05	Professional		$66.07	$131.83	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $128.82	Professional		$58.88	$100.00	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Facility		$269.15	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $165.96	Professional		$61.66	$93.33	$165.96