Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $100.00	Professional		$48.98	$56.23	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $169.82	Professional		$63.10	$91.20	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $190.55 / $309.03	Facility		$147.91	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $181.97	Professional		$63.10	$128.82	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $128.82	Facility		$50.12	$66.07	$128.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $181.97	Professional		$112.20	$138.04	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $131.83	Facility		$50.12	$70.79	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $407.38	Professional		$66.07	$109.65	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $70.79	Professional		$32.36	$44.67	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $186.21	Professional		$74.13	$128.82	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $407.38	Facility		$120.23	$120.23	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $407.38	Professional		$60.26	$173.78	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $208.93	Professional		$100.00	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $162.18	Professional		$64.57	$93.33	$162.18