Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,348.96	Professional		$389.05	$630.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $707.95 / $1,230.27	Facility		$346.74	$707.95	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $457.09	Professional		$199.53	$346.74	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $363.08 / $645.65	Facility		$346.74	$363.08	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $794.33	Facility		$354.81	$363.08	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,148.15	Professional		$354.81	$354.81	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $794.33	Professional		$141.25	$331.13	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $2,454.71	Facility		$346.74	$691.83	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $2,818.38	Professional		$346.74	$363.08	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $575.44	Professional		$467.74	$467.74	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $676.08	Professional		$125.89	$281.84	$676.08