Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $346.74	Facility		$177.83	$213.80	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $213.80	Professional		$95.50	$109.65	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $346.74	Facility		$275.42	$346.74	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $524.81	Professional		$54.95	$54.95	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $660.69	Facility		$346.74	$407.38	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $398.11	Professional		$147.91	$309.03	$398.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $616.60 / $891.25	Facility		$141.25	$616.60	$891.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $851.14	Professional		$758.58	$758.58	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $446.68	Facility		$114.82	$151.36	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $630.96	Professional		$63.10	$91.20	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $128.82	Professional		$54.95	$70.79	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $436.52	Professional		$223.87	$302.00	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $602.56	Facility		$295.12	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $630.96	Professional		$151.36	$630.96	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $269.15	Professional		$114.82	$114.82	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $691.83	Professional		$114.82	$380.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $151.36	Facility		$102.33	$102.33	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $245.47	Professional		$53.70	$85.11	$245.47