Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $186.21	Professional		$128.82	$131.83	$186.21
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 $138.04 / $288.40 / $501.19	Facility		$138.04	$288.40	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $213.80	Professional		$141.25	$177.83	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $234.42	Facility		$109.65	$128.82	$234.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $234.42	Facility		$109.65	$128.82	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Professional		$331.13	$331.13	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $363.08	Professional		$173.78	$257.04	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $707.95	Facility		$138.04	$138.04	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $371.54	Professional		$199.53	$199.53	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09