Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $549.54 / $549.54	Facility		$177.83	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $177.83	Professional		$112.20	$128.82	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $549.54	Facility		$426.58	$537.03	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $524.81	Professional		$38.90	$45.71	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $758.58	Facility		$407.38	$549.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $616.60	Professional		$229.09	$380.19	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $676.08 / $977.24	Facility		$177.83	$676.08	$977.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $691.83	Facility		$134.90	$239.88	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $1,000.00	Professional		$69.18	$100.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $100.00	Professional		$50.12	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $660.69	Professional		$316.23	$467.74	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $933.25	Facility		$398.11	$933.25	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $794.33 / $1,000.00	Professional		$288.40	$794.33	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,122.02	Professional		$575.44	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $239.88	Facility		$131.83	$131.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $275.42	Professional		$69.18	$100.00	$275.42