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 / $354.81 / $501.19	Professional		$354.81	$354.81	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $371.54 / $371.54	Professional		$7.08	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $371.54	Facility		$8.91	$18.62	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.02 / $13.49	Professional		$6.76	$12.02	$13.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $20.42 / $436.52	Facility		$6.92	$20.42	$436.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $20.42 / $436.52	Facility		$6.92	$20.42	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $478.63	Professional		$371.54	$371.54	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $24.55	Professional		$9.12	$16.60	$24.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,318.26	Facility		$371.54	$371.54	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Professional		$12.88	$12.88	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $549.54	Professional		$371.54	$407.38	$549.54