Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $169.82	Professional		$95.50	$128.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $741.31	Professional		$218.78	$407.38	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $398.11	Facility		$102.33	$128.82	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $416.87	Facility		$102.33	$144.54	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $933.25	Professional		$346.74	$346.74	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $489.78	Professional		$141.25	$229.09	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $660.69 / $1,548.82	Facility		$302.00	$660.69	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $1,659.59	Professional		$147.91	$302.00	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $338.84	Professional		$147.91	$190.55	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82