Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $724.44 / $3,090.30	Facility		$0.83	$724.44	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $295.12 / $812.83	Professional		$72.44	$295.12	$812.83
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 $134.90 / $467.74 / $1,445.44	Professional		$134.90	$467.74	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,819.70	Facility		$977.24	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $338.84 / $1,096.48	Professional		$117.49	$338.84	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $389.05 / $3,981.07	Facility		$83.18	$389.05	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $1,047.13	Professional		$151.36	$281.84	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $446.68 / $3,630.78	Facility		$87.10	$446.68	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $891.25 / $1,862.09	Professional		$467.74	$891.25	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $1,148.15	Professional		$138.04	$380.19	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,096.48	Facility		$213.80	$213.80	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $501.19 / $2,511.89	Professional		$100.00	$501.19	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $1,548.82	Professional		$194.98	$616.60	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $1,548.82	Professional		$93.33	$371.54	$1,548.82