Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Professional		$144.54	$144.54	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $316.23	Professional		$95.50	$151.36	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $309.03 / $537.03	Facility		$144.54	$309.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $223.87	Professional		$138.04	$173.78	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $151.36 / $269.15	Facility		$144.54	$151.36	$269.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $331.13	Facility		$128.82	$131.83	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $269.15	Professional		$128.82	$128.82	$269.15
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 $141.25 / $204.17 / $416.87	Professional		$141.25	$204.17	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $512.86	Facility		$144.54	$181.97	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $616.60	Professional		$144.54	$151.36	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $239.88	Professional		$194.98	$194.98	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $181.97	Professional		$125.89	$134.90	$181.97