Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $186.21	Professional		$70.79	$97.72	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $245.47	Facility		$89.13	$141.25	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $223.87	Professional		$72.44	$91.20	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $165.96	Facility		$89.13	$93.33	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $1,412.54	Facility		$83.18	$85.11	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $1,659.59	Professional		$83.18	$83.18	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $416.87	Professional		$89.13	$165.96	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,412.54 / $1,659.59	Facility		$89.13	$1,412.54	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $1,905.46	Professional		$89.13	$89.13	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,659.59	Professional		$125.89	$125.89	$1,659.59