Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $17,782.79	Facility		$117.49	$117.49	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $223.87	Professional		$117.49	$169.82	$223.87
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 / $302.00 / $724.44	Professional		$190.55	$302.00	$724.44
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 / $912.01 / $1,023.29	Professional		$389.05	$912.01	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $281.84 / $954.99	Facility		$50.12	$281.84	$954.99
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 $107.15 / $724.44 / $1,778.28	Facility		$107.15	$724.44	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,380.38	Professional		$316.23	$549.54	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $389.05	Professional		$158.49	$245.47	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,202.26	Facility		$407.38	$407.38	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $812.83 / $1,202.26	Professional		$295.12	$812.83	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,513.56 / $1,862.09	Professional		$616.60	$1,513.56	$1,862.09
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 $302.00 / $478.63 / $1,318.26	Professional		$302.00	$478.63	$1,318.26