Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $190.55	Facility		$134.90	$134.90	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $114.82	Professional		$56.23	$64.57	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $194.98	Professional		$72.44	$107.15	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $354.81	Facility		$169.82	$223.87	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $208.93	Professional		$72.44	$147.91	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $147.91	Facility		$57.54	$75.86	$147.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $208.93	Professional		$131.83	$162.18	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $151.36	Facility		$57.54	$81.28	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $467.74	Professional		$75.86	$125.89	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $70.79	Professional		$32.36	$51.29	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $213.80	Professional		$85.11	$147.91	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $467.74	Facility		$138.04	$138.04	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $199.53 / $467.74	Professional		$69.18	$199.53	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $239.88	Professional		$114.82	$158.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $186.21	Professional		$75.86	$109.65	$186.21