Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $1,905.46	Facility		$109.65	$275.42	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $398.11	Professional		$109.65	$177.83	$398.11
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 $199.53 / $371.54 / $812.83	Professional		$199.53	$371.54	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $645.65 / $1,047.13	Facility		$562.34	$645.65	$1,047.13
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 $128.82 / $363.08 / $3,715.35	Facility		$128.82	$363.08	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $616.60	Professional		$239.88	$380.19	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $1,659.59	Facility		$131.83	$363.08	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $977.24	Professional		$190.55	$354.81	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $660.69	Professional		$213.80	$380.19	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,288.25 / $1,288.25	Facility		$501.19	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $1,513.56	Professional		$131.83	$263.03	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $891.25	Professional		$295.12	$562.34	$891.25
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 $138.04 / $257.04 / $676.08	Professional		$138.04	$257.04	$676.08