Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $616.60	Facility		$100.00	$134.90	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $199.53	Professional		$100.00	$125.89	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $446.68	Professional		$123.03	$181.97	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $645.65	Facility		$331.13	$436.52	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $467.74	Professional		$112.20	$257.04	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $208.93	Facility		$114.82	$141.25	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $331.13	Professional		$162.18	$223.87	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $213.80	Facility		$114.82	$138.04	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $794.33	Professional		$131.83	$281.84	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $338.84	Professional		$134.90	$194.98	$338.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $794.33	Facility		$281.84	$281.84	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $794.33	Professional		$107.15	$223.87	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $501.19 / $645.65	Professional		$173.78	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $446.68	Professional		$125.89	$194.98	$446.68