Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $218.78 / $1,905.46	Facility		$43.65	$218.78	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $138.04 / $323.59	Professional		$41.69	$138.04	$323.59
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 $56.23 / $107.15 / $257.04	Professional		$56.23	$107.15	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $204.17 / $1,000.00	Professional		$56.23	$204.17	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $194.98 / $2,818.38	Facility		$44.67	$194.98	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $575.44	Professional		$87.10	$158.49	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $208.93 / $1,445.44	Facility		$44.67	$208.93	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $501.19 / $1,905.46	Professional		$190.55	$501.19	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $245.47 / $724.44	Professional		$75.86	$245.47	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,288.25 / $1,288.25	Facility		$114.82	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $954.99 / $1,949.84	Professional		$75.86	$954.99	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $741.31	Professional		$147.91	$147.91	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $1,380.38	Professional		$144.54	$309.03	$1,380.38
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 $52.48 / $204.17 / $676.08	Professional		$52.48	$204.17	$676.08