Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $575.44 / $3,090.30	Facility		$177.83	$575.44	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $724.44	Professional		$181.97	$323.59	$724.44
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 $338.84 / $616.60 / $1,445.44	Professional		$338.84	$616.60	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $1,148.15	Professional		$257.04	$562.34	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $3,715.35	Facility		$208.93	$602.56	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,122.02	Professional		$389.05	$676.08	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $602.56 / $1,659.59	Facility		$213.80	$602.56	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,584.89	Professional		$331.13	$616.60	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,288.25	Professional		$371.54	$660.69	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $1,995.26	Facility		$1,258.93	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $2,754.23	Professional		$245.47	$524.81	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $912.01 / $1,659.59	Professional		$389.05	$912.01	$1,659.59
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 $218.78 / $436.52 / $1,230.27	Professional		$218.78	$436.52	$1,230.27