Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $338.84	Facility		$117.49	$154.88	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $389.05	Professional		$120.23	$173.78	$389.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $478.63	Professional		$165.96	$257.04	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $602.56	Professional		$295.12	$457.09	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $371.54	Facility		$162.18	$199.53	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $371.54	Facility		$162.18	$199.53	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $426.58	Professional		$162.18	$251.19	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $616.60	Professional		$218.78	$446.68	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,023.29	Facility		$338.84	$338.84	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,047.13	Professional		$199.53	$398.11	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $645.65	Professional		$316.23	$524.81	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $162.18	Facility		$117.49	$158.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $457.09	Professional		$158.49	$269.15	$457.09