Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $331.13	Facility		$144.54	$269.15	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $181.97	Professional		$85.11	$107.15	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $331.13	Facility		$257.04	$323.59	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $478.63	Professional		$47.86	$47.86	$478.63
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 / $288.40 / $371.54	Professional		$138.04	$288.40	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $489.78 / $707.95	Facility		$131.83	$489.78	$707.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Professional		$724.44	$724.44	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $416.87	Facility		$107.15	$144.54	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $602.56	Professional		$53.70	$72.44	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $104.71	Professional		$50.12	$64.57	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $398.11	Professional		$208.93	$281.84	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $602.56 / $602.56	Professional		$144.54	$602.56	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $912.01	Professional		$346.74	$660.69	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Facility		$95.50	$95.50	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $199.53	Professional		$50.12	$72.44	$199.53