Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $17,782.79	Facility		$120.23	$120.23	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $251.19	Professional		$120.23	$194.98	$251.19
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 $190.55 / $275.42 / $741.31	Professional		$190.55	$275.42	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $380.19	Professional		$234.42	$331.13	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $426.58	Facility		$123.03	$199.53	$426.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $426.58 / $4,168.69	Facility		$181.97	$426.58	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $1,548.82	Professional		$208.93	$354.81	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $691.83	Professional		$275.42	$501.19	$691.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,691.53	Facility		$977.24	$1,819.70	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,479.11	Professional		$933.25	$933.25	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,412.54	Professional		$794.33	$1,318.26	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $891.25	Professional		$204.17	$316.23	$891.25