Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $467.74	Facility		$204.17	$380.19	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $251.19	Professional		$57.54	$138.04	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $467.74	Facility		$363.08	$457.09	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $676.08	Professional		$67.61	$67.61	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $870.96	Facility		$467.74	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $524.81	Professional		$194.98	$407.38	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $691.83 / $977.24	Facility		$186.21	$691.83	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,122.02	Professional		$1,000.00	$1,000.00	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $588.84	Facility		$151.36	$204.17	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $851.14	Professional		$75.86	$102.33	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $85.11	Professional		$54.95	$66.07	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $562.34	Professional		$295.12	$398.11	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $794.33 / $794.33	Facility		$338.84	$794.33	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $851.14 / $851.14	Professional		$204.17	$851.14	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,288.25	Professional		$489.78	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Facility		$134.90	$134.90	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $275.42	Professional		$70.79	$102.33	$275.42