Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $263.03	Facility		$112.20	$208.93	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $154.88	Professional		$70.79	$81.28	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $263.03	Facility		$204.17	$257.04	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $389.05	Professional		$45.71	$45.71	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $489.78	Facility		$263.03	$302.00	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $295.12	Professional		$109.65	$229.09	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $512.86 / $724.44	Facility		$104.71	$512.86	$724.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $630.96	Professional		$562.34	$562.34	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $114.82 / $331.13	Facility		$85.11	$114.82	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $478.63	Professional		$52.48	$75.86	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $95.50	Professional		$50.12	$64.57	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $331.13	Professional		$165.96	$239.88	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $446.68	Facility		$245.47	$446.68	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $478.63 / $478.63	Professional		$114.82	$478.63	$478.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Professional		$95.50	$95.50	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $309.03 / $512.86	Professional		$95.50	$309.03	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Facility		$81.28	$81.28	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $181.97	Professional		$39.81	$70.79	$181.97