Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $338.84 / $338.84	Facility		$144.54	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $190.55	Professional		$91.20	$107.15	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $338.84	Facility		$263.03	$331.13	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $724.44 / $851.14	Professional		$151.36	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $630.96	Facility		$338.84	$389.05	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $380.19	Professional		$141.25	$309.03	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $616.60 / $870.96	Facility		$134.90	$616.60	$870.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $812.83	Professional		$724.44	$724.44	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $426.58	Facility		$114.82	$165.96	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $467.74	Professional		$70.79	$91.20	$467.74
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 $194.98 / $288.40 / $407.38	Professional		$194.98	$288.40	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $575.44	Facility		$245.47	$575.44	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $616.60 / $616.60	Professional		$177.83	$616.60	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $933.25	Professional		$354.81	$660.69	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Facility		$120.23	$120.23	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $234.42	Professional		$51.29	$91.20	$234.42