Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $245.47 / $1,905.46	Facility		$100.00	$245.47	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $446.68	Professional		$100.00	$162.18	$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 $173.78 / $331.13 / $707.95	Professional		$173.78	$331.13	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $912.01	Facility		$489.78	$562.34	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $524.81	Professional		$134.90	$288.40	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $331.13 / $3,311.31	Facility		$117.49	$331.13	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $537.03	Professional		$218.78	$331.13	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $1,659.59	Facility		$117.49	$323.59	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $891.25	Professional		$165.96	$309.03	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $575.44	Professional		$194.98	$338.84	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,890.45 / $3,890.45	Facility		$407.38	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $1,318.26	Professional		$120.23	$229.09	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $776.25	Professional		$269.15	$501.19	$776.25
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 $123.03 / $223.87 / $588.84	Professional		$123.03	$223.87	$588.84