Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $190.55	Professional		$102.33	$138.04	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $691.83	Professional		$123.03	$190.55	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $660.69	Facility		$354.81	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $426.58 / $776.25	Professional		$173.78	$426.58	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $407.38 / $602.56	Facility		$120.23	$407.38	$602.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $288.40	Professional		$251.19	$263.03	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $263.03	Facility		$79.43	$165.96	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $851.14	Professional		$144.54	$263.03	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $371.54	Professional		$131.83	$245.47	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,122.02 / $1,122.02	Facility		$281.84	$1,122.02	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $676.08 / $851.14	Professional		$199.53	$676.08	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Security Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $602.56	Facility		$436.52	$524.81	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $630.96	Professional		$269.15	$512.86	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Facility		$269.15	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $602.56	Professional		$125.89	$218.78	$602.56