Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $194.98 / $660.69	Facility		$79.43	$194.98	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $354.81	Professional		$81.28	$154.88	$354.81
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 $151.36 / $295.12 / $691.83	Professional		$151.36	$295.12	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $912.01	Facility		$489.78	$562.34	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $501.19	Professional		$104.71	$251.19	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $3,311.31	Facility		$93.33	$269.15	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $537.03	Professional		$173.78	$316.23	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $1,659.59	Facility		$95.50	$269.15	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $794.33	Professional		$162.18	$323.59	$794.33
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 $151.36 / $281.84 / $575.44	Professional		$151.36	$281.84	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,288.25 / $1,288.25	Facility		$436.52	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $1,288.25	Professional		$100.00	$218.78	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $776.25	Professional		$218.78	$407.38	$776.25
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 $102.33 / $218.78 / $602.56	Professional		$102.33	$218.78	$602.56