Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $758.58 / $758.58	Facility		$331.13	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $331.13	Professional		$181.97	$223.87	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $1,096.48	Professional		$194.98	$229.09	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $691.83 / $851.14	Professional		$316.23	$691.83	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,148.15 / $1,737.80	Facility		$302.00	$1,148.15	$1,737.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $954.99	Facility		$245.47	$331.13	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $1,380.38	Professional		$123.03	$165.96	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $912.01	Professional		$446.68	$645.65	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $1,318.26	Facility		$549.54	$1,318.26	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,380.38	Professional		$398.11	$1,096.48	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,513.56	Professional		$1,445.44	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Facility		$218.78	$218.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $457.09	Professional		$114.82	$165.96	$457.09