Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $109.65	Facility		$64.57	$64.57	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $151.36	Professional		$54.95	$69.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $223.87	Professional		$70.79	$109.65	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $346.74	Facility		$186.21	$218.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $204.17	Professional		$64.57	$83.18	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $104.71	Facility		$61.66	$72.44	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $213.80	Professional		$131.83	$165.96	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $104.71	Facility		$61.66	$72.44	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $602.56	Professional		$70.79	$123.03	$602.56
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 $83.18 / $151.36 / $208.93	Professional		$83.18	$151.36	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $436.52 / $436.52	Facility		$134.90	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $181.97 / $602.56	Professional		$64.57	$181.97	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $239.88	Professional		$128.82	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $245.47	Professional		$69.18	$112.20	$245.47