Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $891.25	Facility		$363.08	$707.95	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $1,737.80	Professional		$194.98	$245.47	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $724.44	Facility		$562.34	$707.95	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,071.52	Professional		$128.82	$128.82	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Facility		$724.44	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $812.83	Professional		$302.00	$630.96	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,445.44 / $2,089.30	Facility		$288.40	$1,445.44	$2,089.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $912.01	Facility		$234.42	$316.23	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $1,318.26	Professional		$147.91	$213.80	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $263.03	Professional		$54.95	$70.79	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $912.01	Professional		$457.09	$660.69	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,230.27 / $1,230.27	Facility		$562.34	$1,230.27	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,318.26 / $1,318.26	Professional		$316.23	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $549.54	Professional		$269.15	$269.15	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $891.25 / $1,412.54	Professional		$269.15	$891.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Facility		$234.42	$234.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $501.19	Professional		$109.65	$199.53	$501.19