Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $1,905.46	Facility		$79.43	$199.53	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $288.40	Professional		$81.28	$131.83	$288.40
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 $144.54 / $269.15 / $588.84	Professional		$144.54	$269.15	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $457.09	Professional		$109.65	$251.19	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $3,311.31	Facility		$93.33	$269.15	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $446.68	Professional		$177.83	$275.42	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.03 / $1,659.59	Facility		$95.50	$263.03	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $707.95	Professional		$138.04	$263.03	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $478.63	Professional		$158.49	$275.42	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,951.21 / $2,951.21	Facility		$371.54	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $1,096.48	Professional		$97.72	$190.55	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $645.65	Professional		$218.78	$407.38	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $489.78	Professional		$100.00	$186.21	$489.78