Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $489.78 / $3,090.30	Facility		$128.82	$489.78	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $524.81	Professional		$131.83	$208.93	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $933.25	Professional		$229.09	$436.52	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $707.95	Professional		$177.83	$380.19	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $3,311.31	Facility		$151.36	$426.58	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $707.95	Professional		$288.40	$436.52	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $426.58 / $3,630.78	Facility		$158.49	$426.58	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $1,148.15	Professional		$218.78	$416.87	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $776.25	Professional		$263.03	$446.68	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $1,995.26	Facility		$575.44	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $1,698.24	Professional		$158.49	$295.12	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,023.29	Professional		$338.84	$660.69	$1,023.29
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 $162.18 / $302.00 / $776.25	Professional		$162.18	$302.00	$776.25