Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $407.38	Facility		$141.25	$204.17	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $204.17	Professional		$134.90	$138.04	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $302.00	Facility		$169.82	$169.82	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Professional		$138.04	$138.04	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $467.74	Facility		$138.04	$199.53	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $281.84	Professional		$138.04	$144.54	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Facility		$138.04	$138.04	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $309.03	Professional		$144.54	$275.42	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Facility		$134.90	$134.90	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $588.84	Professional		$134.90	$151.36	$588.84
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 $138.04 / $213.80 / $416.87	Professional		$138.04	$213.80	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $676.08	Facility		$138.04	$138.04	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $588.84	Professional		$138.04	$223.87	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $229.09	Professional		$169.82	$186.21	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Facility		$131.83	$131.83	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $162.18	Professional		$138.04	$144.54	$162.18