Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,715.35 / $7,943.28	Facility		$165.96	$3,715.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $331.13 / $2,137.96	Professional		$70.79	$331.13	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $512.86 / $1,513.56	Professional		$131.83	$512.86	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,949.84	Facility		$1,047.13	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $1,148.15	Professional		$151.36	$288.40	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,000.00 / $4,265.80	Facility		$89.13	$1,000.00	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $1,096.48	Professional		$173.78	$281.84	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $912.01 / $1,778.28	Facility		$81.28	$912.01	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $2,089.30	Professional		$501.19	$977.24	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $1,258.93	Professional		$134.90	$398.11	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $1,148.15	Facility		$208.93	$208.93	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $776.25 / $2,630.27	Professional		$151.36	$776.25	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $891.25 / $1,659.59	Professional		$173.78	$891.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $371.54 / $1,778.28	Professional		$97.72	$371.54	$1,778.28