Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $478.63	Facility		$208.93	$389.05	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $309.03	Professional		$128.82	$162.18	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $478.63	Facility		$371.54	$467.74	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $724.44	Professional		$97.72	$97.72	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $588.84	Professional		$199.53	$457.09	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $851.14 / $1,380.38	Facility		$208.93	$851.14	$1,380.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $602.56	Facility		$165.96	$234.42	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $1,412.54	Professional		$144.54	$239.88	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $354.81	Professional		$54.95	$70.79	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $741.31	Professional		$302.00	$436.52	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $831.76	Facility		$416.87	$831.76	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $977.24 / $1,412.54	Professional		$223.87	$977.24	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $371.54	Professional		$177.83	$177.83	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $954.99	Professional		$177.83	$501.19	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Facility		$154.88	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $501.19	Professional		$104.71	$177.83	$501.19