Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $158.49	Professional		$87.10	$123.03	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $436.52	Professional		$112.20	$131.83	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $346.74 / $457.09	Facility		$64.57	$346.74	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $501.19	Professional		$107.15	$204.17	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $234.42	Facility		$93.33	$128.82	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $758.58	Facility		$93.33	$151.36	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $1,071.52	Professional		$123.03	$158.49	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $524.81	Professional		$181.97	$371.54	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $380.19 / $1,071.52	Facility		$64.57	$380.19	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $794.33 / $1,071.52	Professional		$158.49	$794.33	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $251.19	Professional		$120.23	$154.88	$251.19