Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $331.13 / $1,905.46	Facility		$75.86	$331.13	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $309.03	Professional		$79.43	$141.25	$309.03
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 $138.04 / $257.04 / $562.34	Professional		$138.04	$257.04	$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 $102.33 / $229.09 / $380.19	Professional		$102.33	$229.09	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $3,311.31	Facility		$89.13	$245.47	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $416.87	Professional		$165.96	$263.03	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $3,630.78	Facility		$91.20	$245.47	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $676.08	Professional		$138.04	$251.19	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $478.63	Professional		$154.88	$269.15	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,288.25 / $1,288.25	Facility		$281.84	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $1,047.13	Professional		$102.33	$177.83	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $269.15	Professional		$169.82	$169.82	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $616.60	Professional		$186.21	$389.05	$616.60
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 $97.72 / $181.97 / $467.74	Professional		$97.72	$181.97	$467.74