Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $100.00	Professional		$79.43	$83.18	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $245.47	Professional		$74.13	$117.49	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $186.21 / $323.59	Facility		$85.11	$186.21	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $239.88	Professional		$85.11	$114.82	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $144.54	Facility		$81.28	$85.11	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $93.33 / $173.78	Facility		$81.28	$93.33	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $851.14	Professional		$138.04	$138.04	$851.14
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 $141.25 / $295.12 / $416.87	Professional		$141.25	$295.12	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $302.00	Facility		$85.11	$85.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $851.14	Professional		$85.11	$87.10	$851.14
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 Facility Modifier Low / Median / High Price $257.04 / $257.04 / $380.19	Facility		$257.04	$257.04	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $257.04	Professional		$97.72	$125.89	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $138.04	Professional		$125.89	$138.04	$138.04