Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $416.87 / $416.87	Facility		$181.97	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $181.97	Professional		$104.71	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $524.81	Professional		$51.29	$60.26	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $776.25	Facility		$416.87	$478.63	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $467.74	Professional		$158.49	$199.53	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $616.60 / $870.96	Facility		$151.36	$616.60	$870.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,000.00	Professional		$891.25	$891.25	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $524.81	Facility		$134.90	$204.17	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $758.58	Professional		$67.61	$89.13	$758.58
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 $239.88 / $354.81 / $489.78	Professional		$239.88	$354.81	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $707.95	Facility		$302.00	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $758.58 / $758.58	Professional		$218.78	$758.58	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,148.15	Professional		$436.52	$812.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $245.47	Professional		$63.10	$89.13	$245.47