Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $239.88 / $7,585.78	Facility		$42.66	$239.88	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $346.74	Professional		$47.86	$114.82	$346.74
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 $83.18 / $181.97 / $426.58	Professional		$83.18	$181.97	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $316.23	Professional		$64.57	$134.90	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $147.91 / $3,311.31	Facility		$51.29	$147.91	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $346.74	Professional		$95.50	$204.17	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $147.91 / $1,659.59	Facility		$54.95	$147.91	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $478.63	Professional		$97.72	$181.97	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $371.54	Professional		$83.18	$194.98	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,288.25 / $1,288.25	Facility		$181.97	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $831.76	Professional		$58.88	$131.83	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $501.19	Professional		$162.18	$218.78	$501.19
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 $61.66 / $128.82 / $371.54	Professional		$61.66	$128.82	$371.54