Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $354.81	Facility		$199.53	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $354.81	Professional		$158.49	$223.87	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $426.58	Professional		$77.62	$138.04	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $467.74	Facility		$251.19	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $371.54	Professional		$89.13	$218.78	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $1,288.25	Facility		$83.18	$204.17	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $218.78	Professional		$97.72	$186.21	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $181.97 / $616.60	Facility		$83.18	$181.97	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $407.38 / $660.69	Professional		$125.89	$407.38	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $89.13	Professional		$30.90	$40.74	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $281.84	Professional		$104.71	$199.53	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $741.31	Facility		$501.19	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $407.38 / $562.34	Professional		$102.33	$407.38	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $575.44 / $676.08	Professional		$234.42	$575.44	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Facility		$630.96	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $812.83	Professional		$151.36	$316.23	$812.83