Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $398.11	Facility		$58.88	$144.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $204.17	Professional		$60.26	$91.20	$204.17
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 $93.33 / $199.53 / $426.58	Professional		$93.33	$199.53	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $537.03	Facility		$288.40	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $323.59	Professional		$81.28	$177.83	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $3,311.31	Facility		$69.18	$194.98	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $1,659.59	Facility		$75.86	$194.98	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $588.84	Professional		$100.00	$181.97	$588.84
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 $120.23 / $213.80 / $389.05	Professional		$120.23	$213.80	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,754.23 / $2,754.23	Facility		$234.42	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $794.33	Professional		$74.13	$128.82	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $199.53	Professional		$131.83	$131.83	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $457.09	Professional		$154.88	$302.00	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $354.81	Professional		$74.13	$134.90	$354.81