Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,202.26 / $1,202.26	Facility		$346.74	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $457.09	Professional		$257.04	$323.59	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,096.48	Professional		$295.12	$457.09	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $676.08 / $954.99	Professional		$316.23	$676.08	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $588.84	Facility		$281.84	$346.74	$588.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $954.99	Professional		$575.44	$676.08	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $691.83	Facility		$295.12	$346.74	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $2,344.23	Professional		$295.12	$478.63	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,122.02	Professional		$524.81	$776.25	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,041.74	Facility		$758.58	$758.58	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,445.44 / $2,344.23	Professional		$309.03	$1,445.44	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,148.15	Professional		$398.11	$537.03	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $912.01	Professional		$288.40	$416.87	$912.01