Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $147.91	Facility		$51.29	$69.18	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $123.03	Professional		$52.48	$79.43	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $229.09	Professional		$87.10	$128.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $389.05	Facility		$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $269.15	Professional		$131.83	$199.53	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $177.83	Facility		$72.44	$89.13	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $177.83	Facility		$72.44	$89.13	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $234.42	Professional		$91.20	$151.36	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $263.03	Professional		$112.20	$186.21	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $549.54	Facility		$151.36	$151.36	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $549.54	Professional		$89.13	$218.78	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $346.74	Professional		$154.88	$234.42	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $83.18	Facility		$64.57	$81.28	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $245.47	Professional		$81.28	$131.83	$245.47