Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $602.56	Professional		$426.58	$436.52	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $851.14	Professional		$251.19	$478.63	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $977.24 / $1,698.24	Facility		$426.58	$977.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $588.84	Professional		$416.87	$478.63	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $426.58	Facility		$245.47	$426.58	$426.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $645.65	Professional		$173.78	$173.78	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $426.58	Facility		$245.47	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $707.95	Professional		$524.81	$588.84	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $831.76	Professional		$389.05	$588.84	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,621.81	Facility		$426.58	$426.58	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $707.95	Professional		$501.19	$575.44	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $741.31	Professional		$524.81	$575.44	$741.31