Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $288.40 / $14,454.40	Facility		$125.89	$288.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $338.84	Professional		$114.82	$131.83	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $707.95	Professional		$125.89	$245.47	$707.95
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 $204.17 / $537.03 / $616.60	Professional		$204.17	$537.03	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $3,981.07	Facility		$128.82	$251.19	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $416.87	Professional		$251.19	$338.84	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $5,248.07	Facility		$128.82	$275.42	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $1,445.44	Professional		$128.82	$239.88	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $549.54	Professional		$245.47	$363.08	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $616.60 / $1,513.56	Professional		$251.19	$616.60	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $741.31 / $812.83	Professional		$281.84	$741.31	$812.83
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 $128.82 / $194.98 / $524.81	Professional		$128.82	$194.98	$524.81