Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $17,782.79	Facility		$169.82	$169.82	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $707.95	Professional		$177.83	$281.84	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $1,348.96	Professional		$269.15	$512.86	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,023.29 / $1,174.90	Professional		$309.03	$1,023.29	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $389.05	Facility		$177.83	$281.84	$389.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $1,659.59	Facility		$208.93	$323.59	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $2,137.96	Professional		$288.40	$436.52	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $575.44	Professional		$131.83	$239.88	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,778.28	Facility		$281.84	$281.84	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,778.28 / $1,778.28	Professional		$371.54	$1,778.28	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,513.56	Professional		$1,000.00	$1,412.54	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $1,000.00	Professional		$263.03	$389.05	$1,000.00