Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $112.20	Professional		$79.43	$89.13	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $302.00	Professional		$100.00	$165.96	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $512.86	Facility		$275.42	$323.59	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $194.98	Professional		$93.33	$154.88	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $134.90	Facility		$83.18	$95.50	$134.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Professional		$109.65	$190.55	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $144.54	Facility		$83.18	$97.72	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $660.69	Professional		$120.23	$190.55	$660.69
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 $114.82 / $165.96 / $323.59	Professional		$114.82	$165.96	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $660.69	Facility		$194.98	$194.98	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $524.81 / $660.69	Professional		$93.33	$524.81	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $218.78	Professional		$138.04	$213.80	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $288.40	Professional		$114.82	$169.82	$288.40