Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $954.99	Facility		$144.54	$251.19	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $575.44	Professional		$151.36	$239.88	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $1,000.00	Professional		$239.88	$489.78	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,288.25	Facility		$691.83	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $776.25	Professional		$213.80	$457.09	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $3,715.35	Facility		$173.78	$478.63	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $776.25	Professional		$323.59	$478.63	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $7,762.47	Facility		$190.55	$478.63	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $1,318.26	Professional		$229.09	$426.58	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $954.99	Professional		$338.84	$562.34	$954.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,862.09	Professional		$204.17	$398.11	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,122.02	Professional		$380.19	$741.31	$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 $186.21 / $323.59 / $851.14	Professional		$186.21	$323.59	$851.14