Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $14,454.40	Facility		$123.03	$302.00	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $316.23	Professional		$120.23	$151.36	$316.23
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 $144.54 / $281.84 / $660.69	Professional		$144.54	$281.84	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $512.86	Professional		$173.78	$354.81	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $446.68 / $4,265.80	Facility		$131.83	$446.68	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $446.68	Professional		$257.04	$354.81	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $1,778.28	Facility		$147.91	$512.86	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $812.83	Professional		$151.36	$302.00	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $537.03	Professional		$263.03	$363.08	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $1,995.26	Facility		$831.76	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $2,398.83	Professional		$165.96	$331.13	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $707.95	Professional		$281.84	$616.60	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $602.56	Professional		$151.36	$257.04	$602.56