Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $380.19	Professional		$354.81	$363.08	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $389.05 / $389.05	Professional		$75.86	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $933.25	Facility		$380.19	$562.34	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $380.19	Professional		$204.17	$309.03	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $371.54 / $512.86	Facility		$75.86	$371.54	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $2,290.87 / $2,454.71	Professional		$83.18	$2,290.87	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $213.80	Facility		$75.86	$81.28	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $676.08	Professional		$389.05	$389.05	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,659.59 / $2,290.87	Professional		$416.87	$1,659.59	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Facility		$380.19	$380.19	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $1,995.26	Professional		$380.19	$407.38	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $724.44	Professional		$630.96	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $537.03	Professional		$389.05	$389.05	$537.03