Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $147.91 / $173.78	Facility		$128.82	$147.91	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $295.12	Professional		$128.82	$173.78	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $645.65	Professional		$213.80	$371.54	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $575.44	Professional		$223.87	$512.86	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $229.09	Facility		$141.25	$186.21	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $912.01	Facility		$144.54	$223.87	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $562.34	Professional		$190.55	$302.00	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $630.96	Professional		$338.84	$501.19	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,348.96	Facility		$380.19	$380.19	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $416.87	Professional		$295.12	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $630.96	Professional		$199.53	$346.74	$630.96