Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $177.83 / $1,905.46	Facility		$72.44	$177.83	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $218.78	Professional		$72.44	$91.20	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $6,165.95	Facility		$2,041.74	$2,630.27	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $426.58	Professional		$97.72	$194.98	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $457.09	Facility		$245.47	$288.40	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $281.84	Professional		$95.50	$173.78	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $3,981.07	Facility		$79.43	$199.53	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $295.12	Professional		$158.49	$229.09	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $1,737.80	Facility		$83.18	$199.53	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $645.65	Professional		$95.50	$169.82	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $338.84	Professional		$147.91	$234.42	$338.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $891.25	Facility		$223.87	$223.87	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $758.58	Professional		$91.20	$138.04	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $177.83	Professional		$162.18	$162.18	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $446.68	Professional		$158.49	$371.54	$446.68
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 $89.13 / $138.04 / $363.08	Professional		$89.13	$138.04	$363.08