Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $316.23 / $1,905.46	Facility		$147.91	$316.23	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $371.54	Professional		$134.90	$151.36	$371.54
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 $141.25 / $288.40 / $724.44	Professional		$141.25	$288.40	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $724.44	Professional		$177.83	$501.19	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $3,162.28	Facility		$151.36	$229.09	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $467.74	Professional		$275.42	$380.19	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $1,513.56	Facility		$151.36	$239.88	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $1,148.15	Professional		$141.25	$288.40	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $588.84	Professional		$281.84	$426.58	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $1,995.26	Facility		$263.03	$501.19	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $691.83 / $1,122.02	Professional		$251.19	$691.83	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $489.78	Professional		$478.63	$478.63	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $977.24 / $977.24	Professional		$457.09	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $602.56	Professional		$141.25	$218.78	$602.56