Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $691.83	Facility		$239.88	$346.74	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $426.58	Professional		$234.42	$234.42	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $512.86	Facility		$288.40	$288.40	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $912.01	Facility		$234.42	$446.68	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $478.63	Professional		$234.42	$245.47	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $3,715.35	Facility		$239.88	$239.88	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $478.63 / $5,623.41	Professional		$107.15	$478.63	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $3,715.35	Facility		$173.78	$173.78	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $16,595.87	Professional		$173.78	$194.98	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $234.42	Professional		$58.88	$70.79	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $831.76	Professional		$234.42	$380.19	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $10,000.00	Facility		$234.42	$234.42	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $16,595.87	Professional		$234.42	$501.19	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,570.40 / $6,165.95	Professional		$323.59	$2,570.40	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $234.42	Facility		$144.54	$144.54	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $275.42	Professional		$234.42	$245.47	$275.42