Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $1,905.46	Facility		$117.49	$288.40	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $389.05	Professional		$117.49	$162.18	$389.05
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 / $338.84 / $707.95	Professional		$162.18	$338.84	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $524.81	Professional		$165.96	$331.13	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $363.08 / $3,311.31	Facility		$138.04	$363.08	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $512.86	Professional		$257.04	$371.54	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $1,659.59	Facility		$147.91	$323.59	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $1,047.13	Professional		$162.18	$281.84	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $616.60	Professional		$263.03	$407.38	$616.60
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 $158.49 / $288.40 / $1,258.93	Professional		$158.49	$288.40	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $602.56 / $758.58	Professional		$251.19	$602.56	$758.58
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 $141.25 / $229.09 / $588.84	Professional		$141.25	$229.09	$588.84