Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Facility		$257.04	$257.04	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $645.65	Professional		$112.20	$199.53	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $389.05	Professional		$141.25	$208.93	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $691.83	Facility		$331.13	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $426.58	Professional		$141.25	$288.40	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $295.12	Facility		$109.65	$144.54	$295.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $398.11	Professional		$251.19	$309.03	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $302.00	Facility		$109.65	$154.88	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $1,348.96	Professional		$144.54	$234.42	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $416.87	Professional		$165.96	$281.84	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $891.25	Facility		$263.03	$263.03	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $707.95 / $1,348.96	Professional		$134.90	$707.95	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $457.09	Professional		$218.78	$316.23	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $354.81	Professional		$141.25	$194.98	$354.81