Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $758.58	Facility		$239.88	$446.68	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $309.03	Professional		$141.25	$173.78	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $562.34	Facility		$436.52	$549.54	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $812.83	Professional		$81.28	$81.28	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $645.65 / $1,047.13	Facility		$562.34	$645.65	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $630.96	Professional		$234.42	$398.11	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $1,174.90	Facility		$223.87	$831.76	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,348.96	Professional		$1,202.26	$1,202.26	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $707.95	Facility		$181.97	$245.47	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $724.44	Professional		$102.33	$120.23	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $186.21	Professional		$54.95	$70.79	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $660.69	Professional		$354.81	$478.63	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $954.99 / $954.99	Facility		$407.38	$954.99	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,023.29 / $1,023.29	Professional		$97.72	$1,023.29	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,548.82	Professional		$588.84	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $245.47	Facility		$162.18	$162.18	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $331.13	Professional		$85.11	$120.23	$331.13