Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $158.49	Facility		$64.57	$138.04	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $100.00	Professional		$58.88	$70.79	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $204.17	Professional		$79.43	$107.15	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $416.87	Facility		$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $245.47	Professional		$100.00	$194.98	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $109.65	Facility		$63.10	$75.86	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $229.09	Professional		$104.71	$154.88	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $117.49	Facility		$64.57	$77.62	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $524.81	Professional		$93.33	$165.96	$524.81
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 $87.10 / $131.83 / $245.47	Professional		$87.10	$131.83	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $478.63	Facility		$141.25	$141.25	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $524.81	Professional		$95.50	$208.93	$524.81
Security Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $173.78	Professional		$95.50	$154.88	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $218.78	Professional		$87.10	$125.89	$218.78