Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $223.87 / $316.23	Facility		$52.48	$223.87	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $398.11	Professional		$56.23	$125.89	$398.11
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 $100.00 / $208.93 / $524.81	Professional		$100.00	$208.93	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $371.54	Professional		$69.18	$162.18	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $173.78 / $3,311.31	Facility		$61.66	$173.78	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $407.38	Professional		$112.20	$218.78	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $173.78 / $1,659.59	Facility		$61.66	$173.78	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $676.08	Professional		$117.49	$251.19	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $436.52	Professional		$100.00	$186.21	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $1,584.89	Facility		$346.74	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $977.24	Professional		$69.18	$162.18	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $602.56	Professional		$144.54	$263.03	$602.56
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 $69.18 / $158.49 / $467.74	Professional		$69.18	$158.49	$467.74