Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $537.03	Facility		$83.18	$204.17	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $257.04	Professional		$83.18	$125.89	$257.04
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 $128.82 / $269.15 / $562.34	Professional		$128.82	$269.15	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $707.95	Facility		$380.19	$446.68	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $426.58	Professional		$112.20	$239.88	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $3,311.31	Facility		$97.72	$263.03	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $426.58	Professional		$181.97	$269.15	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $263.03 / $1,659.59	Facility		$107.15	$263.03	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $741.31	Professional		$131.83	$234.42	$741.31
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 $169.82 / $288.40 / $512.86	Professional		$169.82	$288.40	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,288.25 / $1,288.25	Facility		$302.00	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $1,047.13	Professional		$102.33	$181.97	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $263.03	Professional		$186.21	$186.21	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $616.60	Professional		$204.17	$426.58	$616.60
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 $107.15 / $181.97 / $467.74	Professional		$107.15	$181.97	$467.74