Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,621.81 / $2,818.38	Facility		$208.93	$1,621.81	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $208.93 / $602.56	Professional		$83.18	$208.93	$602.56
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 $158.49 / $354.81 / $831.76	Professional		$158.49	$354.81	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $724.44	Professional		$181.97	$288.40	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $501.19 / $4,265.80	Facility		$107.15	$501.19	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $707.95	Professional		$208.93	$331.13	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,754.23 / $5,754.40	Facility		$107.15	$2,754.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $1,023.29	Professional		$251.19	$436.52	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $776.25	Professional		$162.18	$288.40	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $741.31	Facility		$251.19	$251.19	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $1,737.80	Professional		$177.83	$501.19	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $1,047.13	Professional		$208.93	$436.52	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $851.14	Professional		$117.49	$309.03	$851.14