Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $436.52	Facility		$199.53	$323.59	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $323.59	Professional		$173.78	$204.17	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $1,148.15	Professional		$208.93	$323.59	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $741.31 / $870.96	Professional		$323.59	$741.31	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,659.59 / $2,290.87	Facility		$194.98	$1,659.59	$2,290.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $588.84	Professional		$416.87	$489.78	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $1,023.29	Facility		$186.21	$257.04	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $1,412.54	Professional		$223.87	$436.52	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $912.01	Professional		$331.13	$489.78	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $1,412.54	Facility		$831.76	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,096.48 / $1,412.54	Professional		$302.00	$1,096.48	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,318.26 / $1,659.59	Professional		$524.81	$1,318.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Facility		$1,071.52	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $954.99	Professional		$218.78	$380.19	$954.99