Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $3,090.30	Facility		$165.96	$416.87	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $691.83	Professional		$173.78	$288.40	$691.83
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 $316.23 / $575.44 / $1,318.26	Professional		$316.23	$575.44	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $954.99	Professional		$281.84	$524.81	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $3,715.35	Facility		$194.98	$562.34	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,000.00	Professional		$363.08	$602.56	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $549.54 / $1,659.59	Facility		$199.53	$549.54	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $1,479.11	Professional		$309.03	$575.44	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,122.02	Professional		$331.13	$588.84	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,187.76	Facility		$1,258.93	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $2,454.71	Professional		$239.88	$489.78	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $851.14 / $1,479.11	Professional		$380.19	$851.14	$1,479.11
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 / $407.38 / $1,122.02	Professional		$218.78	$407.38	$1,122.02