Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $316.23	Facility		$107.15	$158.49	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $181.97	Professional		$104.71	$104.71	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $234.42	Facility		$131.83	$131.83	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $363.08	Facility		$104.71	$208.93	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $194.98	Professional		$107.15	$134.90	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $229.09	Facility		$104.71	$104.71	$229.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $208.93	Professional		$158.49	$208.93	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $229.09	Facility		$104.71	$104.71	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $338.84	Professional		$104.71	$114.82	$338.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $524.81	Facility		$104.71	$104.71	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $173.78	Professional		$141.25	$141.25	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54