Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Professional		$112.20	$112.20	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,548.82	Professional		$446.68	$724.44	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $489.78 / $851.14	Facility		$112.20	$489.78	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $223.87	Professional		$112.20	$199.53	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $245.47	Facility		$112.20	$114.82	$245.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $831.76	Facility		$128.82	$131.83	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,096.48	Professional		$128.82	$128.82	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $933.25	Professional		$112.20	$218.78	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $831.76 / $1,047.13	Facility		$112.20	$831.76	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $1,122.02	Professional		$112.20	$117.49	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $186.21	Professional		$151.36	$151.36	$186.21
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 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83