Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $316.23 / $316.23	Facility		$138.04	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $138.04	Professional		$79.43	$93.33	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $316.23	Facility		$245.47	$309.03	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $416.87	Professional		$38.90	$45.71	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $354.81	Professional		$131.83	$288.40	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $467.74 / $676.08	Facility		$117.49	$467.74	$676.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $758.58	Professional		$114.82	$114.82	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $398.11	Facility		$102.33	$147.91	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $407.38	Professional		$57.54	$69.18	$407.38
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 $177.83 / $269.15 / $380.19	Professional		$177.83	$269.15	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $549.54	Facility		$229.09	$549.54	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $575.44 / $575.44	Professional		$165.96	$575.44	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $870.96	Professional		$331.13	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $138.04	Facility		$91.20	$91.20	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $190.55	Professional		$47.86	$69.18	$190.55