Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $776.25	Facility		$269.15	$389.05	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $346.74	Professional		$257.04	$263.03	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $575.44	Facility		$323.59	$323.59	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $331.13	Professional		$263.03	$263.03	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $676.08	Facility		$263.03	$371.54	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $537.03	Professional		$263.03	$269.15	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $281.84	Facility		$257.04	$257.04	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $549.54	Professional		$275.42	$512.86	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Facility		$257.04	$257.04	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $1,096.48	Professional		$257.04	$281.84	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $263.03	Professional		$58.88	$70.79	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $776.25	Professional		$263.03	$407.38	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,288.25	Facility		$263.03	$263.03	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $1,096.48	Professional		$263.03	$371.54	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $436.52	Professional		$239.88	$354.81	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $302.00	Professional		$263.03	$275.42	$302.00