Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,778.28 / $1,905.46	Facility		$141.25	$1,778.28	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $218.78 / $562.34	Professional		$46.77	$218.78	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,754.40	Facility		$2,398.83	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $218.78 / $489.78	Professional		$44.67	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Facility		$562.34	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $239.88	Professional		$77.62	$134.90	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,818.38 / $5,128.61	Facility		$257.04	$2,818.38	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,318.26 / $2,041.74	Facility		$302.00	$1,318.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $204.17	Professional		$53.70	$93.33	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $64.57	Professional		$50.12	$54.95	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $645.65	Professional		$213.80	$457.09	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,659.59 / $1,659.59	Facility		$575.44	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $416.87	Professional		$245.47	$245.47	$416.87
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 $53.70 / $154.88 / $245.47	Professional		$53.70	$154.88	$245.47