Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $707.95 / $1,258.93	Facility		$218.78	$707.95	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $562.34	Professional		$107.15	$141.25	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $398.11	Facility		$309.03	$389.05	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $602.56	Professional		$70.79	$70.79	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $489.78	Professional		$165.96	$331.13	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $676.08 / $1,000.00	Facility		$173.78	$676.08	$1,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $251.19 / $1,202.26	Facility		$138.04	$251.19	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,096.48	Professional		$131.83	$173.78	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $257.04	Professional		$33.11	$70.79	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $524.81	Professional		$251.19	$371.54	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $758.58 / $758.58	Facility		$295.12	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $724.44 / $1,096.48	Professional		$162.18	$724.44	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $794.33	Professional		$389.05	$416.87	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $173.78	Facility		$114.82	$114.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $398.11	Professional		$87.10	$144.54	$398.11