Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $549.54 / $549.54	Facility		$239.88	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $239.88	Professional		$128.82	$154.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $588.84	Professional		$11.22	$13.18	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $630.96	Professional		$229.09	$501.19	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $831.76 / $1,258.93	Facility		$218.78	$831.76	$1,258.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $707.95	Facility		$181.97	$239.88	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $1,000.00	Professional		$89.13	$120.23	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $660.69	Professional		$323.59	$467.74	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $954.99	Facility		$398.11	$954.99	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $794.33 / $1,000.00	Professional		$288.40	$794.33	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,513.56	Professional		$575.44	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $239.88	Facility		$158.49	$158.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $331.13	Professional		$83.18	$120.23	$331.13