Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $338.84	Facility		$144.54	$275.42	$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 $60.26 / $60.26 / $501.19	Professional		$60.26	$60.26	$501.19
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 / $295.12 / $380.19	Professional		$141.25	$295.12	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $616.60 / $891.25	Facility		$134.90	$616.60	$891.25
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 $109.65 / $147.91 / $426.58	Facility		$109.65	$147.91	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $616.60	Professional		$63.10	$91.20	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $120.23	Professional		$50.12	$64.57	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $426.58	Professional		$213.80	$288.40	$426.58
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 $69.18 / $616.60 / $616.60	Professional		$69.18	$616.60	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $109.65 / $109.65 / $147.91	Facility		$109.65	$109.65	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $234.42	Professional		$51.29	$87.10	$234.42