Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $302.00	Facility		$41.69	$104.71	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $144.54	Professional		$41.69	$67.61	$144.54
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 $66.07 / $144.54 / $309.03	Professional		$66.07	$144.54	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Facility		$213.80	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $239.88	Professional		$57.54	$125.89	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $138.04 / $3,311.31	Facility		$50.12	$138.04	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $229.09	Professional		$93.33	$151.36	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $1,659.59	Facility		$54.95	$141.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $549.54	Professional		$70.79	$134.90	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $288.40	Professional		$87.10	$154.88	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,288.25 / $1,288.25	Facility		$186.21	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $616.60	Professional		$52.48	$93.33	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $346.74	Professional		$114.82	$213.80	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $251.19	Professional		$53.70	$100.00	$251.19