Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $346.74	Facility		$199.53	$251.19	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $263.03	Professional		$120.23	$158.49	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $831.76	Professional		$151.36	$251.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $524.81 / $851.14	Facility		$457.09	$524.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $676.08	Professional		$141.25	$346.74	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $251.19 / $2,951.21	Facility		$138.04	$251.19	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $489.78	Professional		$302.00	$363.08	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $741.31	Facility		$120.23	$194.98	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $1,096.48	Professional		$154.88	$302.00	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $616.60	Professional		$208.93	$380.19	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $1,096.48	Facility		$380.19	$1,096.48	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $794.33 / $1,096.48	Professional		$173.78	$794.33	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $776.25 / $1,047.13	Professional		$302.00	$776.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,754.23	Facility		$2,089.30	$2,089.30	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $512.86	Professional		$154.88	$223.87	$512.86