Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $660.69	Facility		$288.40	$537.03	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $380.19	Professional		$181.97	$208.93	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $660.69	Facility		$524.81	$645.65	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $1,000.00	Professional		$120.23	$120.23	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $1,230.27	Facility		$660.69	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $758.58	Professional		$275.42	$575.44	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,230.27 / $1,737.80	Facility		$269.15	$1,230.27	$1,737.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,621.81	Professional		$1,445.44	$1,445.44	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $851.14	Facility		$218.78	$288.40	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $1,202.26	Professional		$125.89	$177.83	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $275.42	Professional		$54.95	$70.79	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $831.76	Professional		$416.87	$575.44	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $1,148.15	Facility		$478.63	$1,148.15	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,202.26 / $1,202.26	Professional		$134.90	$1,202.26	$1,202.26
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 $707.95 / $1,318.26 / $1,819.70	Professional		$707.95	$1,318.26	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $288.40	Facility		$213.80	$213.80	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $467.74	Professional		$102.33	$173.78	$467.74