Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $549.54 / $1,071.52	Facility		$151.36	$549.54	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $794.33	Professional		$151.36	$257.04	$794.33
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 $263.03 / $501.19 / $1,071.52	Professional		$263.03	$501.19	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Facility		$724.44	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $741.31	Professional		$199.53	$446.68	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $501.19 / $3,311.31	Facility		$177.83	$501.19	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $794.33	Professional		$331.13	$501.19	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $489.78 / $3,630.78	Facility		$190.55	$489.78	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $1,348.96	Professional		$251.19	$467.74	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $870.96	Professional		$302.00	$512.86	$870.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,995.26 / $1,995.26	Facility		$630.96	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $1,949.84	Professional		$186.21	$338.84	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,148.15	Professional		$398.11	$776.25	$1,148.15
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 $190.55 / $338.84 / $912.01	Professional		$190.55	$338.84	$912.01