Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $17,782.79	Facility		$40.74	$40.74	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $57.54 / $83.18	Professional		$12.88	$57.54	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $77.62 / $181.97	Professional		$18.62	$77.62	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $144.54	Facility		$77.62	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $40.74	Professional		$32.36	$33.88	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $162.18	Facility		$38.90	$61.66	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $1,202.26 / $2,041.74	Facility		$48.98	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $144.54	Professional		$19.95	$37.15	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $251.19	Professional		$85.11	$177.83	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $457.09	Facility		$213.80	$213.80	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $588.84 / $588.84	Professional		$42.66	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $89.13	Professional		$57.54	$57.54	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $102.33	Professional		$19.95	$38.02	$102.33