Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $3,090.30	Facility		$128.82	$316.23	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $446.68	Professional		$128.82	$204.17	$446.68
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 $223.87 / $426.58 / $933.25	Professional		$223.87	$426.58	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $630.96	Professional		$173.78	$380.19	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $3,715.35	Facility		$151.36	$426.58	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $707.95	Professional		$281.84	$436.52	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $426.58 / $1,659.59	Facility		$154.88	$426.58	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $1,148.15	Professional		$218.78	$407.38	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $758.58	Professional		$245.47	$446.68	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $1,288.25	Facility		$549.54	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $1,698.24	Professional		$154.88	$295.12	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,023.29	Professional		$346.74	$660.69	$1,023.29
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 $162.18 / $295.12 / $776.25	Professional		$162.18	$295.12	$776.25