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 $52.48 / $245.47 / $363.08	Professional		$52.48	$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 / $954.99	Professional		$120.23	$120.23	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $954.99	Professional		$144.54	$457.09	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $602.56	Facility		$194.98	$288.40	$602.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $363.08 / $1,047.13	Facility		$117.49	$363.08	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $181.97 / $1,513.56	Professional		$33.88	$181.97	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $85.11	Professional		$33.11	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $707.95 / $1,000.00	Professional		$177.83	$707.95	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $1,445.44	Facility		$602.56	$1,445.44	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,513.56 / $1,513.56	Professional		$109.65	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $645.65	Professional		$42.66	$42.66	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $165.96 / $1,659.59	Professional		$42.66	$165.96	$1,659.59
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 $33.88 / $162.18 / $363.08	Professional		$33.88	$162.18	$363.08