Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $363.08 / $1,905.46	Facility		$114.82	$363.08	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $380.19	Professional		$114.82	$186.21	$380.19
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 / $389.05 / $831.76	Professional		$199.53	$389.05	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Facility		$562.34	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $575.44	Professional		$158.49	$331.13	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $380.19 / $3,311.31	Facility		$125.89	$380.19	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $630.96	Professional		$251.19	$389.05	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $380.19 / $1,659.59	Facility		$138.04	$380.19	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $1,023.29	Professional		$194.98	$363.08	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $676.08	Professional		$223.87	$398.11	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,265.80 / $4,265.80	Facility		$489.78	$4,265.80	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $1,513.56	Professional		$138.04	$263.03	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $912.01	Professional		$316.23	$588.84	$912.01
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 $144.54 / $263.03 / $691.83	Professional		$144.54	$263.03	$691.83