Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Professional		$186.21	$186.21	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Professional		$186.21	$186.21	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $562.34	Facility		$204.17	$323.59	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $371.54	Professional		$158.49	$204.17	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $251.19	Facility		$114.82	$141.25	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $251.19	Facility		$114.82	$141.25	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $281.84	Professional		$177.83	$199.53	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $134.90	Professional		$64.57	$85.11	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $371.54	Professional		$144.54	$281.84	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $489.78 / $616.60	Facility		$204.17	$489.78	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $316.23	Professional		$181.97	$204.17	$316.23