Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $1,023.29	Facility		$234.42	$354.81	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $588.84	Professional		$346.74	$346.74	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $776.25	Facility		$426.58	$426.58	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $436.52	Professional		$346.74	$346.74	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,148.15 / $1,949.84	Facility		$346.74	$1,148.15	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $630.96	Professional		$346.74	$436.52	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $295.12 / $645.65	Facility		$70.79	$295.12	$645.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $588.84 / $588.84	Professional		$1.86	$588.84	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $426.58	Facility		$70.79	$194.98	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $446.68	Professional		$194.98	$194.98	$446.68
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 $213.80 / $346.74 / $891.25	Professional		$213.80	$346.74	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $2,137.96	Facility		$346.74	$346.74	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $288.40 / $354.81	Professional		$97.72	$288.40	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $346.74	Facility		$281.84	$281.84	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $467.74	Professional		$346.74	$346.74	$467.74