Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $14,454.40	Facility		$138.04	$338.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $371.54	Professional		$138.04	$169.82	$371.54
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 $162.18 / $316.23 / $741.31	Professional		$162.18	$316.23	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $776.25	Facility		$416.87	$489.78	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $575.44	Professional		$199.53	$398.11	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $501.19 / $4,265.80	Facility		$151.36	$501.19	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $512.86	Professional		$295.12	$407.38	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $512.86 / $1,778.28	Facility		$165.96	$512.86	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $977.24	Professional		$177.83	$346.74	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $602.56	Professional		$295.12	$416.87	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,995.26 / $1,995.26	Facility		$426.58	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $2,454.71	Professional		$190.55	$398.11	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $707.95 / $794.33	Professional		$316.23	$707.95	$794.33
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 $173.78 / $302.00 / $676.08	Professional		$173.78	$302.00	$676.08