Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $537.03	Facility		$229.09	$426.58	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $288.40	Professional		$134.90	$162.18	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $537.03	Facility		$416.87	$524.81	$537.03
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 $537.03 / $616.60 / $1,000.00	Facility		$537.03	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $602.56	Professional		$223.87	$398.11	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $812.83 / $1,230.27	Facility		$213.80	$812.83	$1,230.27
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 / $234.42 / $676.08	Facility		$173.78	$234.42	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $954.99	Professional		$87.10	$114.82	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $194.98	Professional		$50.12	$70.79	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $630.96	Professional		$316.23	$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 $93.33 / $776.25 / $954.99	Professional		$93.33	$776.25	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $407.38	Professional		$194.98	$194.98	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $562.34 / $1,047.13	Professional		$194.98	$562.34	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $234.42	Facility		$154.88	$154.88	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $316.23	Professional		$81.28	$114.82	$316.23