Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $912.01	Facility		$263.03	$269.15	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $446.68	Professional		$218.78	$257.04	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $891.25	Professional		$245.47	$398.11	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $1,230.27	Facility		$660.69	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $870.96	Professional		$269.15	$562.34	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $489.78	Facility		$234.42	$281.84	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $691.83	Professional		$436.52	$512.86	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $501.19	Facility		$234.42	$281.84	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $5,011.87	Professional		$295.12	$602.56	$5,011.87
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 $331.13 / $562.34 / $831.76	Professional		$331.13	$562.34	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,548.82	Facility		$575.44	$575.44	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $794.33 / $5,011.87	Professional		$269.15	$794.33	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,258.93 / $1,380.38	Professional		$501.19	$1,258.93	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $891.25	Professional		$263.03	$426.58	$891.25