Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $588.84	Facility		$204.17	$295.12	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $436.52	Facility		$245.47	$245.47	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $660.69	Facility		$186.21	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $363.08	Professional		$194.98	$204.17	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $208.93	Facility		$190.55	$190.55	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $380.19	Professional		$199.53	$380.19	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $213.80	Facility		$190.55	$190.55	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $794.33	Professional		$190.55	$208.93	$794.33
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 $194.98 / $302.00 / $575.44	Professional		$194.98	$302.00	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $933.25	Facility		$186.21	$194.98	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $794.33	Professional		$194.98	$275.42	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $323.59	Professional		$263.03	$263.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $223.87	Professional		$194.98	$208.93	$223.87