Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $575.44	Facility		$245.47	$457.09	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $309.03	Professional		$144.54	$177.83	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $575.44	Facility		$446.68	$562.34	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $831.76	Professional		$83.18	$83.18	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $1,071.52	Facility		$575.44	$660.69	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $645.65	Professional		$239.88	$426.58	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $870.96 / $1,318.26	Facility		$229.09	$870.96	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,380.38	Professional		$1,230.27	$1,230.27	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $724.44	Facility		$186.21	$251.19	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $1,023.29	Professional		$93.33	$123.03	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $190.55	Professional		$50.12	$70.79	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $676.08	Professional		$338.84	$489.78	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $977.24 / $977.24	Facility		$416.87	$977.24	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $831.76 / $1,023.29	Professional		$100.00	$831.76	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $436.52	Professional		$208.93	$208.93	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $602.56 / $1,122.02	Professional		$208.93	$602.56	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $251.19	Facility		$165.96	$165.96	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $338.84	Professional		$87.10	$123.03	$338.84