Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $1,905.46	Facility		$144.54	$331.13	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $588.84	Professional		$147.91	$316.23	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $851.14	Professional		$190.55	$331.13	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,737.80	Facility		$933.25	$1,071.52	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $616.60 / $1,445.44	Professional		$204.17	$616.60	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $2,818.38	Facility		$151.36	$338.84	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $1,000.00	Professional		$302.00	$575.44	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $363.08 / $1,513.56	Facility		$151.36	$363.08	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,000.00 / $2,570.40	Professional		$363.08	$1,000.00	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,230.27	Professional		$275.42	$549.54	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $2,511.89	Facility		$1,230.27	$2,511.89	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,698.24 / $2,454.71	Professional		$288.40	$1,698.24	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $2,041.74	Professional		$616.60	$1,148.15	$2,041.74
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 $194.98 / $457.09 / $1,288.25	Professional		$194.98	$457.09	$1,288.25