Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $229.09	Professional		$134.90	$181.97	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $549.54	Professional		$186.21	$275.42	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $912.01	Facility		$436.52	$575.44	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $354.81	Professional		$165.96	$218.78	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $346.74	Facility		$162.18	$199.53	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $524.81	Professional		$331.13	$407.38	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $380.19	Facility		$162.18	$199.53	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $1,174.90	Professional		$194.98	$302.00	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $575.44	Professional		$229.09	$407.38	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,174.90	Facility		$354.81	$354.81	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $478.63 / $1,174.90	Professional		$165.96	$478.63	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $630.96	Professional		$302.00	$407.38	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $537.03	Professional		$186.21	$269.15	$537.03