Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $478.63	Facility		$208.93	$389.05	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $257.04	Professional		$123.03	$147.91	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $478.63	Facility		$380.19	$467.74	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $707.95	Professional		$70.79	$70.79	$707.95
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 / $346.74 / $549.54	Professional		$199.53	$346.74	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $724.44 / $1,023.29	Facility		$194.98	$724.44	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Professional		$1,047.13	$1,047.13	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $616.60	Facility		$158.49	$208.93	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $870.96	Professional		$79.43	$104.71	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $575.44	Professional		$281.84	$416.87	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $831.76 / $831.76	Facility		$354.81	$831.76	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $870.96 / $870.96	Professional		$83.18	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $371.54	Professional		$173.78	$173.78	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $588.84 / $977.24	Professional		$173.78	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $208.93	Facility		$141.25	$141.25	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $288.40	Professional		$74.13	$104.71	$288.40