Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $158.49	Facility		$120.23	$134.90	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $245.47	Professional		$120.23	$151.36	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $549.54	Professional		$173.78	$302.00	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $537.03	Professional		$204.17	$467.74	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $204.17	Facility		$114.82	$169.82	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $831.76	Facility		$117.49	$194.98	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $489.78	Professional		$162.18	$245.47	$489.78
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 $309.03 / $457.09 / $575.44	Professional		$309.03	$457.09	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,096.48	Facility		$346.74	$346.74	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $380.19	Professional		$234.42	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $512.86	Professional		$177.83	$288.40	$512.86