Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $1,905.46	Facility		$85.11	$208.93	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $263.03	Professional		$85.11	$112.20	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $501.19	Professional		$114.82	$229.09	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $338.84 / $537.03	Facility		$288.40	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $331.13	Professional		$114.82	$204.17	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $3,981.07	Facility		$93.33	$245.47	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $346.74	Professional		$186.21	$269.15	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $1,737.80	Facility		$102.33	$245.47	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $776.25	Professional		$120.23	$223.87	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $416.87	Professional		$181.97	$295.12	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $891.25	Facility		$263.03	$263.03	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $1,000.00	Professional		$109.65	$162.18	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Professional		$194.98	$194.98	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $524.81	Professional		$199.53	$436.52	$524.81
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 $109.65 / $165.96 / $426.58	Professional		$109.65	$165.96	$426.58