Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $794.33 / $912.01	Facility		$199.53	$794.33	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $912.01	Professional		$389.05	$478.63	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,238.72	Professional		$380.19	$616.60	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,949.84	Facility		$1,047.13	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $912.01 / $1,584.89	Professional		$407.38	$912.01	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $831.76 / $1,513.56	Facility		$398.11	$831.76	$1,513.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,122.02	Professional		$691.83	$831.76	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $1,412.54	Facility		$371.54	$741.31	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $4,265.80	Professional		$512.86	$977.24	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,698.24	Professional		$501.19	$977.24	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,467.37 / $3,467.37	Facility		$891.25	$3,467.37	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,137.96 / $4,365.16	Professional		$537.03	$2,137.96	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,311.31	Professional		$2,187.76	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Facility		$1,445.44	$1,445.44	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,698.24	Professional		$446.68	$776.25	$1,698.24