Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $17,782.79	Facility		$109.65	$109.65	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $831.76	Professional		$208.93	$288.40	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $645.65	Professional		$389.05	$562.34	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $724.44	Facility		$114.82	$213.80	$724.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $645.65 / $11,481.54	Facility		$165.96	$645.65	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,348.96	Professional		$288.40	$426.58	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $426.58	Professional		$117.49	$213.80	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $6,456.54	Facility		$263.03	$501.19	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,288.25	Professional		$794.33	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,398.83	Professional		$1,348.96	$2,238.72	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,232.93 / $12,589.25	Facility		$4,265.80	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $870.96	Professional		$288.40	$389.05	$870.96