Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $630.96	Professional		$331.13	$398.11	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $2,238.72	Professional		$398.11	$616.60	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Facility		$1,122.02	$1,288.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,445.44 / $1,659.59	Professional		$616.60	$1,445.44	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,011.87 / $6,918.31	Facility		$354.81	$5,011.87	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,174.90	Professional		$794.33	$912.01	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $512.86 / $3,311.31	Facility		$128.82	$512.86	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $2,754.23	Professional		$436.52	$851.14	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,737.80	Professional		$549.54	$912.01	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $4,073.80	Facility		$2,754.23	$4,073.80	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,187.76 / $2,754.23	Professional		$575.44	$2,187.76	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $3,311.31	Professional		$1,071.52	$2,511.89	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,570.88	Facility		$3,467.37	$3,467.37	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,819.70	Professional		$426.58	$691.83	$1,819.70