Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $724.44 / $724.44	Facility		$309.03	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $309.03	Professional		$181.97	$213.80	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,445.44	Professional		$263.03	$524.81	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Facility		$724.44	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $660.69 / $812.83	Professional		$302.00	$660.69	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,096.48 / $1,659.59	Facility		$263.03	$1,096.48	$1,659.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $912.01	Facility		$234.42	$331.13	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $1,288.25	Professional		$117.49	$154.88	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $263.03	Professional		$50.12	$70.79	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $851.14	Professional		$416.87	$616.60	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $1,230.27	Facility		$524.81	$1,230.27	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,047.13 / $1,288.25	Professional		$380.19	$1,047.13	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $426.58	Professional		$109.65	$154.88	$426.58