Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $1,148.15	Facility		$398.11	$575.44	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $645.65	Professional		$380.19	$380.19	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $851.14	Facility		$478.63	$478.63	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $1,348.96	Facility		$380.19	$776.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $707.95	Professional		$380.19	$489.78	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $831.76	Facility		$257.04	$380.19	$831.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $758.58 / $758.58	Professional		$104.71	$758.58	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $831.76	Facility		$257.04	$380.19	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $562.34	Professional		$380.19	$416.87	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $380.19	Professional		$64.57	$85.11	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $1,122.02	Professional		$380.19	$416.87	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,905.46	Facility		$380.19	$380.19	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $630.96	Professional		$346.74	$512.86	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Facility		$371.54	$371.54	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $537.03	Professional		$380.19	$426.58	$537.03