Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $120.23	Professional		$83.18	$85.11	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $263.03	Professional		$83.18	$87.10	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $194.98 / $331.13	Facility		$89.13	$194.98	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $158.49	Professional		$95.50	$117.49	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $173.78	Facility		$81.28	$91.20	$173.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $138.04	Professional		$63.10	$63.10	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $173.78	Facility		$81.28	$91.20	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $288.40	Professional		$104.71	$190.55	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $436.52	Facility		$89.13	$89.13	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $275.42	Professional		$147.91	$147.91	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49