Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $371.54	Professional		$295.12	$309.03	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $436.52	Professional		$131.83	$208.93	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $891.25	Facility		$323.59	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $407.38	Professional		$245.47	$323.59	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $316.23 / $371.54	Facility		$295.12	$316.23	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $562.34	Professional		$338.84	$436.52	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $316.23 / $398.11	Facility		$295.12	$316.23	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $1,258.93	Professional		$309.03	$346.74	$1,258.93
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 $169.82 / $302.00 / $457.09	Professional		$169.82	$302.00	$457.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $1,659.59	Facility		$245.47	$323.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,258.93	Professional		$323.59	$616.60	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $537.03	Professional		$354.81	$436.52	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $371.54	Professional		$309.03	$331.13	$371.54