Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $354.81	Facility		$199.53	$295.12	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $295.12	Professional		$147.91	$173.78	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $1,023.29	Professional		$186.21	$275.42	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $954.99	Facility		$512.86	$602.56	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $758.58	Professional		$263.03	$645.65	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,380.38 / $1,905.46	Facility		$186.21	$1,380.38	$1,905.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $489.78	Professional		$338.84	$398.11	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $1,023.29	Facility		$158.49	$223.87	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $1,288.25	Professional		$173.78	$363.08	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $758.58	Professional		$269.15	$398.11	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,288.25	Facility		$831.76	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $954.99 / $1,288.25	Professional		$245.47	$954.99	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,174.90 / $1,513.56	Professional		$416.87	$1,174.90	$1,513.56
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 $173.78 / $302.00 / $812.83	Professional		$173.78	$302.00	$812.83