Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $17,782.79	Facility		$66.07	$66.07	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $125.89	Professional		$66.07	$104.71	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $501.19	Professional		$109.65	$208.93	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $575.44	Facility		$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $295.12 / $371.54	Professional		$107.15	$295.12	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,754.23 / $5,128.61	Facility		$107.15	$2,754.23	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $5,888.44 / $8,709.64	Facility		$107.15	$5,888.44	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $478.63	Professional		$125.89	$218.78	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $380.19	Professional		$181.97	$275.42	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Professional		$426.58	$426.58	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Professional		$912.01	$912.01	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $478.63	Professional		$125.89	$218.78	$478.63