Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $309.03 / $8,317.64	Facility		$107.15	$309.03	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $331.13	Professional		$104.71	$104.71	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $234.42	Facility		$190.55	$223.87	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $371.54	Facility		$104.71	$177.83	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $190.55	Professional		$104.71	$109.65	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $346.74	Facility		$109.65	$109.65	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $870.96	Professional		$151.36	$151.36	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $346.74	Facility		$109.65	$112.20	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $1,698.24	Professional		$109.65	$123.03	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $109.65	Professional		$50.12	$93.33	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $380.19	Professional		$104.71	$169.82	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $1,584.89	Facility		$104.71	$104.71	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $1,698.24	Professional		$104.71	$204.17	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $588.84	Professional		$97.72	$407.38	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $151.36	Facility		$104.71	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $151.36	Professional		$104.71	$109.65	$151.36