Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $19,054.61	Facility		$457.09	$457.09	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $794.33	Facility		$645.65	$758.58	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Professional		$457.09	$457.09	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,737.80	Facility		$501.19	$1,000.00	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,230.27	Professional		$489.78	$616.60	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $478.63 / $562.34	Facility		$165.96	$478.63	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $562.34	Facility		$165.96	$457.09	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $724.44	Professional		$457.09	$512.86	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $112.20	Professional		$64.57	$85.11	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $831.76	Professional		$208.93	$457.09	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,380.38 / $2,187.76	Facility		$501.19	$1,380.38	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $794.33	Professional		$389.05	$645.65	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Facility		$346.74	$346.74	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $776.25	Professional		$457.09	$512.86	$776.25