Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $724.44 / $776.25	Facility		$144.54	$724.44	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $239.88	Professional		$91.20	$114.82	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $331.13	Facility		$263.03	$323.59	$331.13
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 $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $380.19	Professional		$138.04	$295.12	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $676.08 / $977.24	Facility		$134.90	$676.08	$977.24
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 / $602.56	Facility		$114.82	$165.96	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $602.56	Professional		$70.79	$100.00	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $97.72	Professional		$54.95	$64.57	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $416.87	Professional		$213.80	$309.03	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $602.56 / $602.56	Professional		$75.86	$602.56	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $257.04	Professional		$125.89	$125.89	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $660.69	Professional		$125.89	$125.89	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $144.54	Facility		$107.15	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $234.42	Professional		$51.29	$93.33	$234.42