Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $426.58 / $426.58	Facility		$186.21	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $151.36	Professional		$102.33	$125.89	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $549.54	Professional		$11.22	$13.18	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $812.83	Facility		$436.52	$501.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $489.78	Professional		$181.97	$398.11	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $660.69 / $1,000.00	Facility		$173.78	$660.69	$1,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Professional		$933.25	$933.25	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $549.54	Facility		$141.25	$186.21	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $776.25	Professional		$70.79	$93.33	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $512.86	Professional		$251.19	$371.54	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $741.31	Facility		$316.23	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $630.96 / $776.25	Professional		$229.09	$630.96	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Professional		$831.76	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $186.21	Facility		$125.89	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $257.04	Professional		$66.07	$93.33	$257.04