Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $426.58	Professional		$398.11	$407.38	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $776.25	Professional		$165.96	$338.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $426.58	Professional		$147.91	$186.21	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $588.84	Facility		$398.11	$426.58	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $724.44	Facility		$398.11	$426.58	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,905.46	Professional		$501.19	$501.19	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $416.87	Professional		$141.25	$295.12	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,513.56	Facility		$426.58	$426.58	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $2,238.72	Professional		$426.58	$426.58	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $338.84	Professional		$147.91	$190.55	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $501.19	Professional		$125.89	$281.84	$501.19