Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $707.95	Facility		$309.03	$562.34	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $380.19	Professional		$181.97	$208.93	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $707.95	Facility		$549.54	$691.83	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $1,023.29	Professional		$102.33	$102.33	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,318.26	Facility		$707.95	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $794.33	Professional		$295.12	$616.60	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,071.52 / $1,513.56	Facility		$281.84	$1,071.52	$1,513.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Professional		$1,513.56	$1,513.56	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $891.25	Facility		$229.09	$309.03	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $1,288.25	Professional		$104.71	$151.36	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $128.82	Professional		$50.12	$64.57	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $831.76	Professional		$446.68	$602.56	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,202.26	Facility		$630.96	$1,202.26	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,288.25 / $1,288.25	Professional		$309.03	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $537.03	Professional		$194.98	$194.98	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $758.58 / $1,380.38	Professional		$194.98	$758.58	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $309.03	Facility		$204.17	$204.17	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $380.19	Professional		$107.15	$151.36	$380.19