Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $616.60 / $758.58	Facility		$331.13	$616.60	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $407.38	Professional		$190.55	$234.42	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $758.58	Facility		$588.84	$741.31	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,096.48	Professional		$109.65	$109.65	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $851.14	Professional		$316.23	$549.54	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,122.02 / $1,621.81	Facility		$302.00	$1,122.02	$1,621.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $954.99	Facility		$245.47	$331.13	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $1,380.38	Professional		$123.03	$165.96	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $138.04	Professional		$50.12	$64.57	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $912.01	Professional		$446.68	$645.65	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $1,318.26	Facility		$549.54	$1,318.26	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,380.38 / $1,380.38	Professional		$131.83	$1,380.38	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $588.84	Professional		$275.42	$275.42	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $794.33 / $1,513.56	Professional		$275.42	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Facility		$218.78	$218.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $457.09	Professional		$114.82	$165.96	$457.09