Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $870.96 / $8,912.51	Facility		$104.71	$870.96	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $549.54	Professional		$89.13	$181.97	$549.54
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 $134.90 / $275.42 / $575.44	Professional		$134.90	$275.42	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $436.52	Professional		$117.49	$245.47	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $295.12 / $3,311.31	Facility		$104.71	$295.12	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $426.58	Professional		$199.53	$288.40	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $3,630.78	Facility		$107.15	$295.12	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $812.83	Professional		$128.82	$234.42	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $467.74	Professional		$190.55	$309.03	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,187.76 / $2,187.76	Facility		$562.34	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $1,023.29	Professional		$104.71	$194.98	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $630.96	Professional		$199.53	$467.74	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $467.74	Professional		$104.71	$181.97	$467.74