Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $398.11	Facility		$199.53	$288.40	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $288.40	Professional		$158.49	$186.21	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $1,047.13	Professional		$186.21	$288.40	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $977.24	Facility		$524.81	$616.60	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $776.25	Professional		$295.12	$691.83	$776.25
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 $380.19 / $446.68 / $537.03	Professional		$380.19	$446.68	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $269.15 / $1,023.29	Facility		$177.83	$269.15	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $1,479.11	Professional		$213.80	$407.38	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,258.93	Facility		$831.76	$1,258.93	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,000.00 / $1,479.11	Professional		$275.42	$1,000.00	$1,479.11
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 $489.78 / $1,202.26 / $1,513.56	Professional		$489.78	$1,202.26	$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 $213.80 / $380.19 / $870.96	Professional		$213.80	$380.19	$870.96