Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $645.65	Facility		$281.84	$371.54	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $346.74	Professional		$81.28	$190.55	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $630.96 / $645.65	Facility		$501.19	$630.96	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $933.25	Professional		$93.33	$93.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $724.44	Professional		$269.15	$562.34	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $954.99 / $1,380.38	Facility		$257.04	$954.99	$1,380.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $812.83	Facility		$208.93	$281.84	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $1,174.90	Professional		$104.71	$141.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $117.49	Professional		$50.12	$64.57	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $1,122.02	Facility		$467.74	$1,122.02	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,174.90 / $1,174.90	Professional		$281.84	$1,174.90	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $1,778.28	Professional		$676.08	$1,288.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $281.84	Facility		$186.21	$186.21	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $389.05	Professional		$97.72	$141.25	$389.05