Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $407.38 / $1,905.46	Facility		$102.33	$407.38	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $371.54	Professional		$102.33	$169.82	$371.54
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 $186.21 / $346.74 / $758.58	Professional		$186.21	$346.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $1,000.00	Facility		$537.03	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $316.23 / $537.03	Professional		$138.04	$316.23	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $3,311.31	Facility		$120.23	$338.84	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $588.84	Professional		$223.87	$363.08	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $3,630.78	Facility		$120.23	$338.84	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $912.01	Professional		$177.83	$331.13	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $660.69	Professional		$208.93	$371.54	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,187.76 / $2,187.76	Facility		$501.19	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $1,412.54	Professional		$123.03	$245.47	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $524.81 / $851.14	Professional		$218.78	$524.81	$851.14
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 $120.23 / $239.88 / $645.65	Professional		$120.23	$239.88	$645.65