Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $346.74 / $1,905.46	Facility		$40.74	$346.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $141.25 / $630.96	Professional		$41.69	$141.25	$630.96
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 $79.43 / $218.78 / $588.84	Professional		$79.43	$218.78	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $870.96	Facility		$467.74	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $512.86	Professional		$91.20	$173.78	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $354.81 / $4,265.80	Facility		$53.70	$354.81	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $501.19	Professional		$104.71	$165.96	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $616.60 / $1,778.28	Facility		$48.98	$616.60	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $724.44	Professional		$169.82	$302.00	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $537.03	Professional		$81.28	$181.97	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $524.81	Facility		$125.89	$125.89	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $354.81 / $1,202.26	Professional		$91.20	$354.81	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $741.31	Professional		$104.71	$275.42	$741.31
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 $58.88 / $181.97 / $588.84	Professional		$58.88	$181.97	$588.84