Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $154.88	Professional		$125.89	$125.89	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $436.52	Facility		$162.18	$295.12	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $186.21	Professional		$123.03	$162.18	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $147.91	Facility		$95.50	$125.89	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $147.91	Facility		$95.50	$125.89	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Professional		$147.91	$147.91	$223.87
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 $144.54 / $213.80 / $295.12	Professional		$144.54	$213.80	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $537.03	Facility		$426.58	$537.03	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $239.88	Professional		$147.91	$147.91	$239.88