Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $17,378.01	Facility		$245.47	$363.08	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $537.03	Facility		$302.00	$302.00	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $302.00	Professional		$239.88	$239.88	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $645.65	Facility		$239.88	$346.74	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $489.78	Professional		$239.88	$251.19	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Facility		$234.42	$234.42	$263.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $575.44	Professional		$257.04	$478.63	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Facility		$234.42	$234.42	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $1,023.29	Professional		$234.42	$263.03	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $707.95	Professional		$239.88	$371.54	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,174.90	Facility		$239.88	$239.88	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $1,023.29	Professional		$239.88	$407.38	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $398.11	Professional		$204.17	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Facility		$234.42	$234.42	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $281.84	Professional		$239.88	$257.04	$281.84