Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,258.93	Facility		$436.52	$630.96	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Professional		$416.87	$416.87	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $933.25	Facility		$524.81	$524.81	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Professional		$416.87	$416.87	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,318.26	Facility		$416.87	$758.58	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $776.25	Professional		$416.87	$537.03	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $436.52 / $954.99	Facility		$50.12	$436.52	$954.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $870.96 / $870.96	Professional		$16.98	$870.96	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $436.52 / $954.99	Facility		$50.12	$436.52	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $691.83	Professional		$436.52	$436.52	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $416.87	Professional		$64.57	$85.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,288.25	Professional		$257.04	$416.87	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $2,137.96	Facility		$416.87	$416.87	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $346.74 / $426.58	Professional		$91.20	$346.74	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Facility		$416.87	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44