Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $478.63	Facility		$208.93	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $208.93	Professional		$123.03	$144.54	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $478.63	Facility		$380.19	$467.74	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $616.60	Professional		$58.88	$69.18	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $549.54	Professional		$199.53	$436.52	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $707.95 / $1,023.29	Facility		$190.55	$707.95	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Professional		$1,047.13	$1,047.13	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $616.60	Facility		$158.49	$223.87	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $870.96	Professional		$79.43	$104.71	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $87.10	Professional		$50.12	$64.57	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $575.44	Professional		$281.84	$407.38	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $831.76 / $831.76	Facility		$346.74	$831.76	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $870.96 / $870.96	Professional		$251.19	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $954.99 / $1,318.26	Professional		$512.86	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $208.93	Facility		$141.25	$141.25	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $288.40	Professional		$74.13	$104.71	$288.40