Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $239.88 / $2,951.21	Facility		$77.62	$239.88	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $416.87	Professional		$77.62	$114.82	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,630.27 / $5,754.40	Facility		$398.11	$2,630.27	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $501.19	Professional		$117.49	$223.87	$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 $104.71 / $190.55 / $323.59	Professional		$104.71	$190.55	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $3,981.07	Facility		$91.20	$245.47	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $346.74	Professional		$169.82	$245.47	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $245.47 / $1,737.80	Facility		$95.50	$245.47	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $707.95	Professional		$107.15	$208.93	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $426.58	Professional		$165.96	$269.15	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $588.84	Facility		$239.88	$239.88	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $870.96	Professional		$95.50	$151.36	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $512.86	Professional		$190.55	$398.11	$512.86
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 $95.50 / $158.49 / $407.38	Professional		$95.50	$158.49	$407.38