Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $162.18	Professional		$151.36	$154.88	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $512.86	Professional		$138.04	$213.80	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $416.87	Facility		$154.88	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $245.47	Professional		$117.49	$162.18	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $229.09	Facility		$66.07	$151.36	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $234.42	Facility		$66.07	$151.36	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $724.44	Professional		$165.96	$165.96	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $446.68	Professional		$141.25	$263.03	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $575.44	Facility		$162.18	$162.18	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $851.14	Professional		$162.18	$162.18	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $302.00	Professional		$89.13	$109.65	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $173.78	Professional		$125.89	$165.96	$173.78