Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $234.42	Professional		$79.43	$158.49	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $691.83	Professional		$165.96	$288.40	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $602.56	Facility		$323.59	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $467.74	Professional		$199.53	$295.12	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $269.15	Facility		$107.15	$165.96	$269.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $275.42	Facility		$104.71	$165.96	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $331.13 / $1,000.00	Professional		$109.65	$331.13	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $85.11	Professional		$33.11	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $741.31	Professional		$288.40	$501.19	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,000.00	Facility		$489.78	$489.78	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $870.96 / $1,122.02	Professional		$199.53	$870.96	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Professional		$97.72	$97.72	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $602.56 / $602.56	Professional		$100.00	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $275.42 / $812.83	Professional		$109.65	$275.42	$812.83