Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $724.44	Facility		$316.23	$588.84	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $512.86	Professional		$186.21	$229.09	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $724.44	Facility		$562.34	$707.95	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,047.13	Professional		$104.71	$104.71	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $891.25	Professional		$302.00	$467.74	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $870.96 / $1,412.54	Facility		$295.12	$870.96	$1,412.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,778.28	Professional		$1,584.89	$1,584.89	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $933.25	Facility		$251.19	$316.23	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $1,445.44	Professional		$199.53	$263.03	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $363.08	Professional		$33.11	$70.79	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $933.25	Professional		$457.09	$676.08	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $1,258.93	Facility		$524.81	$1,258.93	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,318.26 / $1,445.44	Professional		$229.09	$1,318.26	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $562.34	Professional		$213.80	$213.80	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $707.95 / $1,445.44	Professional		$213.80	$707.95	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $316.23	Facility		$213.80	$213.80	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $645.65	Professional		$158.49	$263.03	$645.65