Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $501.19 / $1,258.93	Facility		$223.87	$501.19	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $537.03 / $1,148.15	Professional		$125.89	$537.03	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,148.15 / $2,290.87	Professional		$199.53	$1,148.15	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,801.89	Facility		$1,737.80	$2,344.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $512.86 / $2,511.89	Professional		$151.36	$512.86	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $1,202.26	Facility		$125.89	$245.47	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $1,905.46	Professional		$251.19	$457.09	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $257.04 / $1,258.93	Facility		$125.89	$257.04	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,584.89 / $5,011.87	Professional		$676.08	$1,584.89	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $831.76 / $2,344.23	Professional		$218.78	$831.76	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,238.72 / $2,238.72	Facility		$316.23	$2,238.72	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,318.26 / $5,011.87	Professional		$144.54	$1,318.26	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $954.99	Professional		$158.49	$158.49	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $467.74 / $2,630.27	Professional		$173.78	$467.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Facility		$870.96	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $489.78 / $1,659.59	Professional		$128.82	$489.78	$1,659.59