Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $141.25 / $1,905.46	Facility		$23.99	$141.25	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $70.79 / $186.21	Professional		$23.99	$70.79	$186.21
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 $46.77 / $112.20 / $309.03	Professional		$46.77	$112.20	$309.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $169.82 / $457.09	Professional	50	$70.79	$169.82	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $457.09	Facility		$245.47	$288.40	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $245.47	Professional		$32.36	$85.11	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $100.00 / $3,311.31	Facility		$28.84	$100.00	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $251.19	Professional		$52.48	$97.72	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $100.00 / $1,659.59	Facility		$29.51	$100.00	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $371.54	Professional		$69.18	$120.23	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $295.12	Professional		$48.98	$97.72	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,778.28 / $1,778.28	Facility		$245.47	$1,778.28	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $645.65	Professional		$32.36	$89.13	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $389.05	Professional		$66.07	$128.82	$389.05
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 $32.36 / $87.10 / $239.88	Professional		$32.36	$87.10	$239.88