Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $165.96 / $186.21	Facility		$85.11	$165.96	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $354.81	Professional		$154.88	$165.96	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $537.03	Facility		$186.21	$309.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $323.59	Professional		$151.36	$190.55	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $186.21	Facility		$165.96	$186.21	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $186.21	Facility		$165.96	$186.21	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $251.19	Professional		$158.49	$177.83	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $85.11	Professional		$15.14	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $562.34	Facility		$158.49	$186.21	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Professional		$30.20	$30.20	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $288.40	Professional		$165.96	$190.55	$288.40