Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $91.20	Professional		$50.12	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $776.25	Professional		$173.78	$323.59	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $181.97	Professional		$93.33	$147.91	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $199.53	Facility		$91.20	$112.20	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $186.21	Facility		$102.33	$104.71	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $416.87	Professional		$141.25	$288.40	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $331.13	Facility		$93.33	$93.33	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $489.78	Professional		$93.33	$93.33	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $338.84	Professional		$147.91	$190.55	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $125.89	Professional		$91.20	$125.89	$125.89