Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $831.76	Facility		$363.08	$676.08	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $363.08	Professional		$66.07	$245.47	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $831.76	Facility		$645.65	$812.83	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $933.25	Professional		$120.23	$120.23	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $954.99 / $1,548.82	Facility		$831.76	$954.99	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $933.25	Professional		$346.74	$724.44	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $630.96	Facility		$302.00	$416.87	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,995.26	Professional		$1,778.28	$1,778.28	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $1,047.13	Facility		$269.15	$363.08	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $181.97 / $1,513.56	Professional		$48.98	$181.97	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $81.28	Professional		$50.12	$64.57	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $707.95 / $1,000.00	Professional		$165.96	$707.95	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $1,412.54	Facility		$602.56	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,513.56 / $1,513.56	Professional		$363.08	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $645.65	Professional		$66.07	$66.07	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $229.09 / $1,621.81	Professional		$66.07	$229.09	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $363.08	Facility		$239.88	$239.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $181.97 / $363.08	Professional		$52.48	$181.97	$363.08