Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $707.95	Facility		$309.03	$575.44	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $398.11	Professional		$169.82	$229.09	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $707.95	Facility		$549.54	$691.83	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,071.52	Professional		$125.89	$125.89	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $812.83	Professional		$295.12	$616.60	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,445.44 / $2,041.74	Facility		$281.84	$1,445.44	$2,041.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $891.25	Facility		$229.09	$309.03	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $1,318.26	Professional		$147.91	$213.80	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $257.04	Professional		$54.95	$70.79	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $891.25	Professional		$446.68	$660.69	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,230.27 / $1,230.27	Facility		$562.34	$1,230.27	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,288.25 / $1,348.96	Professional		$169.82	$1,288.25	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Professional		$263.03	$263.03	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,023.29 / $1,584.89	Professional		$263.03	$1,023.29	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Facility		$229.09	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $501.19	Professional		$107.15	$194.98	$501.19