Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $239.88	Professional		$173.78	$199.53	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $776.25	Professional		$56.23	$66.07	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Facility		$691.83	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $776.25	Professional		$288.40	$630.96	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,047.13 / $1,584.89	Facility		$275.42	$1,047.13	$1,584.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,659.59	Professional		$1,479.11	$1,479.11	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $870.96	Facility		$223.87	$295.12	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $1,230.27	Professional		$112.20	$147.91	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $123.03	Professional		$50.12	$64.57	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $812.83	Professional		$398.11	$588.84	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $1,174.90	Facility		$501.19	$1,174.90	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,230.27 / $1,230.27	Professional		$363.08	$1,230.27	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $1,905.46	Professional		$724.44	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $295.12	Facility		$199.53	$199.53	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $407.38	Professional		$104.71	$147.91	$407.38