Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $75,857.76	Facility		$169.82	$331.13	$75,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $229.09	Professional		$162.18	$162.18	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Facility		$204.17	$204.17	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $426.58	Facility		$162.18	$229.09	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Professional		$162.18	$162.18	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Facility		$165.96	$165.96	$181.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $331.13	Professional		$165.96	$331.13	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Facility		$162.18	$162.18	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $3,630.78	Professional		$162.18	$181.97	$3,630.78
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 $162.18 / $257.04 / $489.78	Professional		$162.18	$257.04	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $812.83	Facility		$162.18	$162.18	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $3,630.78	Professional		$162.18	$229.09	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $190.55	Professional		$162.18	$173.78	$190.55