Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $151.36	Professional		$141.25	$144.54	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $380.19	Professional		$112.20	$213.80	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $181.97	Professional		$147.91	$151.36	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $213.80	Facility		$141.25	$151.36	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $218.78	Facility		$141.25	$151.36	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $676.08	Professional		$162.18	$162.18	$676.08
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 / $213.80 / $416.87	Professional		$141.25	$213.80	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $537.03	Facility		$151.36	$151.36	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $794.33	Professional		$151.36	$151.36	$794.33
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 $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $169.82	Professional		$125.89	$162.18	$169.82