Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $251.19	Professional		$141.25	$190.55	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $891.25	Professional		$263.03	$426.58	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $223.87	Professional		$147.91	$186.21	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $309.03	Facility		$147.91	$194.98	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $501.19	Facility		$147.91	$199.53	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,348.96	Professional		$257.04	$257.04	$1,348.96
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 / $616.60	Professional		$141.25	$229.09	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $1,445.44	Facility		$223.87	$489.78	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $1,348.96	Professional		$218.78	$446.68	$1,348.96
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 $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78