Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $251.19	Facility		$77.62	$165.96	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $162.18	Professional		$63.10	$91.20	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $257.04	Professional		$89.13	$144.54	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $676.08	Facility		$363.08	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $389.05	Professional		$131.83	$257.04	$389.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $162.18	Facility		$67.61	$102.33	$162.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $338.84	Professional		$125.89	$223.87	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $165.96	Facility		$70.79	$107.15	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $831.76	Professional		$100.00	$177.83	$831.76
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 $104.71 / $190.55 / $363.08	Professional		$104.71	$190.55	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $575.44	Facility		$169.82	$169.82	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $831.76	Professional		$120.23	$251.19	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $281.84	Professional		$70.79	$162.18	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $616.60	Facility		$467.74	$467.74	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $239.88	Professional		$74.13	$128.82	$239.88