Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $269.15	Professional		$151.36	$194.98	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $588.84	Professional		$194.98	$295.12	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $1,000.00	Facility		$478.63	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $380.19	Professional		$181.97	$239.88	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $380.19	Facility		$173.78	$208.93	$380.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $562.34	Professional		$363.08	$446.68	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $416.87	Facility		$173.78	$218.78	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,288.25	Professional		$204.17	$323.59	$1,288.25
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 $239.88 / $426.58 / $602.56	Professional		$239.88	$426.58	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,288.25	Facility		$380.19	$380.19	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $1,288.25	Professional		$181.97	$524.81	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $691.83	Professional		$309.03	$436.52	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $575.44	Professional		$199.53	$281.84	$575.44