Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,148.15	Facility		$389.05	$575.44	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Professional		$380.19	$380.19	$616.60
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 / $478.63	Professional		$380.19	$380.19	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $1,445.44	Facility		$380.19	$602.56	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $707.95	Professional		$380.19	$398.11	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $467.74	Facility		$426.58	$426.58	$467.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $912.01	Professional		$436.52	$851.14	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $588.84	Facility		$407.38	$407.38	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $1,949.84	Professional		$407.38	$457.09	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,258.93	Professional		$380.19	$660.69	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $2,137.96	Facility		$380.19	$380.19	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,949.84	Professional		$380.19	$501.19	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $660.69	Professional		$537.03	$537.03	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $407.38	Facility		$380.19	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $457.09	Professional		$380.19	$407.38	$457.09