Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $562.34	Facility		$162.18	$162.18	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $251.19	Professional		$134.90	$158.49	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $512.86	Professional		$141.25	$239.88	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $489.78 / $794.33	Facility		$426.58	$489.78	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $446.68	Professional		$134.90	$346.74	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $416.87	Facility		$138.04	$190.55	$416.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $426.58	Professional		$275.42	$316.23	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $446.68	Facility		$138.04	$190.55	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $660.69	Professional		$114.82	$194.98	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $489.78	Professional		$239.88	$346.74	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $977.24 / $977.24	Facility		$346.74	$977.24	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $977.24	Professional		$120.23	$281.84	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $537.03	Professional		$218.78	$331.13	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Facility		$1,071.52	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $489.78	Professional		$120.23	$199.53	$489.78