Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $17,782.79	Facility		$54.95	$54.95	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $144.54	Professional		$57.54	$87.10	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $302.00	Professional		$85.11	$125.89	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Facility		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $177.83	Professional		$107.15	$154.88	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $199.53	Facility		$57.54	$91.20	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $1,778.28	Facility		$83.18	$199.53	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $676.08	Professional		$93.33	$158.49	$676.08
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 $123.03 / $218.78 / $309.03	Professional		$123.03	$218.78	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $562.34	Facility		$234.42	$234.42	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $660.69	Professional		$416.87	$436.52	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $660.69	Professional		$371.54	$616.60	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $398.11	Professional		$93.33	$141.25	$398.11