Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $263.03 / $1,905.46	Facility		$87.10	$263.03	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $275.42	Professional		$81.28	$114.82	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $562.34	Professional		$120.23	$234.42	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $338.84 / $588.84	Professional		$138.04	$338.84	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $3,162.28	Facility		$87.10	$169.82	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $338.84	Professional		$165.96	$239.88	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $186.21 / $4,786.30	Facility		$89.13	$186.21	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $1,445.44	Professional		$117.49	$245.47	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $416.87	Professional		$162.18	$275.42	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $1,288.25	Facility		$154.88	$295.12	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $549.54 / $1,479.11	Professional		$165.96	$549.54	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $575.44 / $794.33	Professional		$79.43	$575.44	$794.33
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 $100.00 / $162.18 / $416.87	Professional		$100.00	$162.18	$416.87