Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $776.25 / $1,380.38	Facility		$181.97	$776.25	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $776.25	Professional		$186.21	$323.59	$776.25
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 $346.74 / $630.96 / $1,479.11	Professional		$346.74	$630.96	$1,479.11
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 $281.84 / $575.44 / $1,071.52	Professional		$281.84	$575.44	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $616.60 / $3,715.35	Facility		$213.80	$616.60	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,122.02	Professional		$398.11	$676.08	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $602.56 / $1,659.59	Facility		$223.87	$602.56	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,659.59	Professional		$338.84	$630.96	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,288.25	Professional		$380.19	$676.08	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,187.76 / $2,187.76	Facility		$831.76	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $2,754.23	Professional		$251.19	$537.03	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $1,659.59	Professional		$478.63	$933.25	$1,659.59
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 $229.09 / $436.52 / $1,258.93	Professional		$229.09	$436.52	$1,258.93