Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $186.21	Professional		$123.03	$144.54	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $467.74	Professional		$165.96	$257.04	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $776.25	Facility		$416.87	$489.78	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $302.00	Professional		$141.25	$245.47	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $218.78	Facility		$134.90	$151.36	$218.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $478.63	Professional		$169.82	$295.12	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $223.87	Facility		$134.90	$154.88	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,096.48	Professional		$204.17	$323.59	$1,096.48
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 $181.97 / $263.03 / $512.86	Professional		$181.97	$263.03	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,096.48	Facility		$302.00	$302.00	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $891.25 / $1,096.48	Professional		$141.25	$891.25	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $398.11	Professional		$190.55	$190.55	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $489.78	Professional		$194.98	$281.84	$489.78