Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $549.54	Facility		$58.88	$144.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $467.74	Professional		$61.66	$134.90	$467.74
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 $112.20 / $234.42 / $562.34	Professional		$112.20	$234.42	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $407.38	Professional		$81.28	$186.21	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $204.17 / $3,311.31	Facility		$69.18	$204.17	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $446.68	Professional		$128.82	$245.47	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $1,659.59	Facility		$70.79	$199.53	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $724.44	Professional		$134.90	$275.42	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $489.78	Professional		$112.20	$208.93	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,584.89 / $1,584.89	Facility		$316.23	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $1,096.48	Professional		$74.13	$177.83	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $660.69	Professional		$162.18	$302.00	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $501.19	Professional		$75.86	$177.83	$501.19