Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Professional		$75.86	$75.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $446.68	Professional		$162.18	$269.15	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $346.74	Facility		$75.86	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $223.87	Professional		$75.86	$109.65	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $165.96	Facility		$75.86	$77.62	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $288.40	Facility		$79.43	$81.28	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $331.13	Professional		$79.43	$79.43	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $446.68	Professional		$75.86	$204.17	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $288.40 / $371.54	Facility		$75.86	$288.40	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $407.38	Professional		$75.86	$87.10	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $125.89	Professional		$102.33	$102.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $302.00	Professional		$125.89	$134.90	$302.00