Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $134.90	Facility		$42.66	$91.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $70.79	Professional		$33.88	$47.86	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $134.90	Professional		$45.71	$75.86	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $363.08	Facility		$194.98	$223.87	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $208.93	Professional		$67.61	$138.04	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $87.10	Facility		$35.48	$54.95	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $181.97	Professional		$67.61	$123.03	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $87.10	Facility		$38.02	$56.23	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $436.52	Professional		$50.12	$89.13	$436.52
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 / $104.71 / $199.53	Professional		$58.88	$104.71	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $316.23	Facility		$91.20	$91.20	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $436.52	Professional		$64.57	$134.90	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $151.36	Professional		$36.31	$81.28	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $114.82	Professional		$38.02	$64.57	$114.82