Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $229.09	Facility		$158.49	$199.53	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $275.42	Professional		$81.28	$109.65	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $575.44	Professional		$104.71	$162.18	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $537.03	Facility		$288.40	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $562.34	Professional		$158.49	$346.74	$562.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $338.84	Facility		$102.33	$162.18	$338.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $302.00	Professional		$218.78	$251.19	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $338.84	Facility		$102.33	$158.49	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $1,862.09	Professional		$123.03	$245.47	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $575.44	Professional		$173.78	$309.03	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $676.08 / $676.08	Facility		$257.04	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $537.03 / $1,862.09	Professional		$158.49	$537.03	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $812.83	Professional		$380.19	$660.69	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $467.74	Professional		$112.20	$204.17	$467.74