Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $109.65	Facility		$42.66	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $64.57	Professional		$39.81	$48.98	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $144.54	Professional		$51.29	$74.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $295.12	Facility		$158.49	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $173.78	Professional		$66.07	$128.82	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $72.44	Facility		$41.69	$52.48	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $158.49	Professional		$69.18	$107.15	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $77.62	Facility		$42.66	$52.48	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $380.19	Professional		$70.79	$125.89	$380.19
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 / $323.59	Facility		$93.33	$93.33	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $380.19	Professional		$66.07	$138.04	$380.19
Security Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $173.78	Professional		$53.70	$83.18	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $162.18	Professional		$61.66	$93.33	$162.18