Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $3,090.30	Facility		$112.20	$275.42	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $426.58	Professional		$114.82	$173.78	$426.58
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 $194.98 / $380.19 / $831.76	Professional		$194.98	$380.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Facility		$537.03	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $562.34	Professional		$151.36	$331.13	$562.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $3,715.35	Facility		$131.83	$363.08	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $602.56	Professional		$239.88	$371.54	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $363.08 / $1,659.59	Facility		$141.25	$363.08	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $2,089.30	Professional		$204.17	$371.54	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $691.83	Professional		$218.78	$389.05	$691.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,995.26 / $1,995.26	Facility		$338.84	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $2,290.87	Professional		$144.54	$257.04	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $870.96	Professional		$302.00	$562.34	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $707.95	Professional		$144.54	$263.03	$707.95