Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $776.25 / $776.25	Facility		$338.84	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $338.84	Professional		$199.53	$229.09	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $1,122.02	Professional		$245.47	$288.40	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $891.25	Professional		$323.59	$707.95	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,174.90 / $1,778.28	Facility		$309.03	$1,174.90	$1,778.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Professional		$1,698.24	$1,698.24	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $1,000.00	Facility		$257.04	$338.84	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $1,412.54	Professional		$125.89	$169.82	$1,412.54
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 $457.09 / $660.69 / $933.25	Professional		$457.09	$660.69	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,348.96 / $1,348.96	Facility		$562.34	$1,348.96	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,122.02 / $1,412.54	Professional		$407.38	$1,122.02	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,548.82	Professional		$1,479.11	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $338.84	Facility		$223.87	$223.87	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $467.74	Professional		$117.49	$169.82	$467.74