Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $912.01	Facility		$398.11	$741.31	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $501.19	Professional		$229.09	$281.84	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $912.01	Facility		$707.95	$891.25	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $1,318.26	Professional		$131.83	$131.83	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,023.29	Professional		$380.19	$676.08	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,380.38 / $2,089.30	Facility		$363.08	$1,380.38	$2,089.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Professional		$1,995.26	$1,995.26	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $398.11 / $1,148.15	Facility		$295.12	$398.11	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $1,659.59	Professional		$147.91	$199.53	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $380.19	Professional		$50.12	$70.79	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,096.48	Professional		$537.03	$776.25	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $1,548.82	Facility		$831.76	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,318.26 / $1,659.59	Professional		$158.49	$1,318.26	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $707.95	Professional		$331.13	$331.13	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $954.99 / $1,819.70	Professional		$331.13	$954.99	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $398.11	Facility		$263.03	$263.03	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $549.54	Professional		$138.04	$199.53	$549.54