Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Professional		$120.23	$120.23	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $128.82	Professional		$104.71	$117.49	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $380.19	Facility		$131.83	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $131.83	Professional		$61.66	$107.15	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $69.18 / $141.25	Facility		$36.31	$69.18	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $69.18 / $128.82	Facility		$36.31	$69.18	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $186.21	Professional		$117.49	$131.83	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $112.20	Professional		$44.67	$83.18	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $380.19	Facility		$120.23	$131.83	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Professional		$57.54	$57.54	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $204.17	Professional		$117.49	$131.83	$204.17