Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,905.46 / $3,890.45	Facility		$331.13	$1,905.46	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $363.08 / $2,187.76	Professional		$67.61	$363.08	$2,187.76
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 $123.03 / $501.19 / $1,513.56	Professional		$123.03	$501.19	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $1,122.02	Professional		$138.04	$269.15	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $954.99 / $4,265.80	Facility		$83.18	$954.99	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $1,096.48	Professional		$162.18	$257.04	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $954.99 / $1,778.28	Facility		$75.86	$954.99	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,041.74	Professional		$489.78	$954.99	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $398.11 / $1,230.27	Professional		$125.89	$398.11	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,122.02	Facility		$194.98	$194.98	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $758.58 / $2,630.27	Professional		$144.54	$758.58	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $851.14 / $1,621.81	Professional		$162.18	$851.14	$1,621.81
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 $91.20 / $354.81 / $1,737.80	Professional		$91.20	$354.81	$1,737.80