Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $524.81 / $524.81	Facility		$229.09	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $346.74	Professional		$144.54	$181.97	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $524.81	Facility		$416.87	$512.86	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $776.25	Professional		$77.62	$77.62	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $977.24	Facility		$524.81	$616.60	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $602.56	Professional		$223.87	$457.09	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $645.65 / $933.25	Facility		$213.80	$645.65	$933.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $676.08	Facility		$173.78	$229.09	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $691.83	Professional		$83.18	$114.82	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $181.97	Professional		$54.95	$70.79	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $630.96	Professional		$302.00	$457.09	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $912.01	Facility		$389.05	$912.01	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $954.99 / $954.99	Professional		$229.09	$954.99	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $407.38	Professional		$120.23	$120.23	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $575.44 / $1,174.90	Professional		$120.23	$575.44	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $229.09	Facility		$154.88	$154.88	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $302.00	Professional		$81.28	$114.82	$302.00