Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $17,782.79	Facility		$53.70	$53.70	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $102.33	Professional		$56.23	$87.10	$102.33
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 $89.13 / $177.83 / $512.86	Professional		$89.13	$177.83	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $501.19	Facility		$269.15	$316.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $186.21	Professional		$112.20	$162.18	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $213.80	Facility		$56.23	$89.13	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $5,495.41	Professional		$199.53	$199.53	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $213.80 / $1,778.28	Facility		$81.28	$213.80	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $660.69	Professional		$97.72	$154.88	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $302.00	Professional		$120.23	$213.80	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $776.25	Facility		$512.86	$512.86	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $645.65	Professional		$426.58	$436.52	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $691.83	Professional		$436.52	$645.65	$691.83
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 / $138.04 / $363.08	Professional		$93.33	$138.04	$363.08