Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $512.86	Facility		$223.87	$416.87	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $275.42	Professional		$128.82	$158.49	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $512.86	Facility		$398.11	$501.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $741.31	Professional		$74.13	$74.13	$741.31
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 $213.80 / $371.54 / $575.44	Professional		$213.80	$371.54	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $758.58 / $1,071.52	Facility		$204.17	$758.58	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $645.65	Facility		$165.96	$223.87	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $933.25	Professional		$83.18	$112.20	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $169.82	Professional		$54.95	$70.79	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $870.96 / $870.96	Facility		$371.54	$870.96	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $933.25 / $933.25	Professional		$89.13	$933.25	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $398.11	Professional		$186.21	$186.21	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $537.03 / $1,000.00	Professional		$186.21	$537.03	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Facility		$147.91	$147.91	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $309.03	Professional		$77.62	$112.20	$309.03