Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $831.76 / $831.76	Facility		$363.08	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $363.08	Professional		$208.93	$245.47	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $1,202.26	Professional		$194.98	$229.09	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $758.58 / $933.25	Professional		$346.74	$758.58	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,258.93 / $1,905.46	Facility		$331.13	$1,258.93	$1,905.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $1,047.13	Facility		$269.15	$363.08	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $1,513.56	Professional		$134.90	$181.97	$1,513.56
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 $489.78 / $707.95 / $1,000.00	Professional		$489.78	$707.95	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $1,445.44	Facility		$602.56	$1,445.44	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,202.26 / $1,513.56	Professional		$436.52	$1,202.26	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $2,290.87	Professional		$870.96	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $363.08	Facility		$239.88	$239.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19