Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $478.63	Facility		$208.93	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $208.93	Professional		$120.23	$141.25	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $588.84	Professional		$177.83	$302.00	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $537.03	Professional		$199.53	$263.03	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $602.56 / $1,023.29	Facility		$89.13	$602.56	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $812.83	Facility		$89.13	$154.88	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $309.03	Professional		$87.10	$104.71	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $257.04	Professional		$85.11	$87.10	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $575.44	Professional		$223.87	$398.11	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $812.83	Facility		$346.74	$346.74	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $208.93	Facility		$138.04	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $338.84	Professional		$72.44	$104.71	$338.84