Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $389.05	Professional		$181.97	$323.59	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $676.08	Facility		$416.87	$416.87	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $467.74	Professional		$389.05	$389.05	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,041.74	Facility		$1,096.48	$1,288.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $776.25	Professional		$467.74	$588.84	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $426.58	Facility		$295.12	$407.38	$426.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $1,905.46	Facility		$295.12	$407.38	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,000.00	Professional		$204.17	$407.38	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,202.26	Professional		$416.87	$616.60	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,905.46 / $1,905.46	Facility		$831.76	$1,905.46	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $1,047.13	Professional		$158.49	$380.19	$1,047.13