Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $275.42	Facility		$199.53	$213.80	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $269.15	Professional		$120.23	$151.36	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $912.01	Professional		$138.04	$234.42	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $676.08	Facility		$363.08	$426.58	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $537.03	Professional		$204.17	$478.63	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $691.83 / $977.24	Facility		$138.04	$691.83	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $467.74	Professional		$263.03	$302.00	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $1,023.29	Facility		$123.03	$213.80	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $1,148.15	Professional		$177.83	$331.13	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $588.84	Professional		$213.80	$316.23	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,230.27	Facility		$831.76	$1,230.27	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $912.01 / $1,148.15	Professional		$190.55	$912.01	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $1,412.54	Professional		$426.58	$831.76	$1,412.54
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 $158.49 / $275.42 / $676.08	Professional		$158.49	$275.42	$676.08