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 $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $218.78	Professional		$77.62	$117.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $309.03	Facility		$77.62	$177.83	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $223.87	Professional		$77.62	$104.71	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $144.54	Facility		$77.62	$81.28	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $177.83	Facility		$85.11	$87.10	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $177.83	Professional		$85.11	$85.11	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $416.87	Professional		$77.62	$204.17	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $380.19	Facility		$77.62	$85.11	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $380.19	Professional		$77.62	$81.28	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $125.89	Professional		$77.62	$125.89	$125.89