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 $251.19 / $316.23 / $616.60	Professional		$251.19	$316.23	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $912.01	Facility		$724.44	$912.01	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $1,380.38	Professional		$165.96	$165.96	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,737.80	Facility		$933.25	$1,071.52	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $1,047.13	Professional		$389.05	$812.83	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,862.09 / $2,691.53	Facility		$371.54	$1,862.09	$2,691.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,238.72	Professional		$1,995.26	$1,995.26	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $1,174.90	Facility		$302.00	$398.11	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $1,659.59	Professional		$190.55	$275.42	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $338.84	Professional		$54.95	$70.79	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,148.15	Professional		$588.84	$851.14	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $1,584.89	Facility		$891.25	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,659.59 / $1,659.59	Professional		$398.11	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $707.95	Professional		$346.74	$346.74	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $1,819.70	Professional		$346.74	$346.74	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $645.65	Professional		$141.25	$257.04	$645.65