Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $239.88 / $630.96	Facility		$91.20	$239.88	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $446.68	Professional		$79.43	$141.25	$446.68
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 $97.72 / $162.18 / $407.38	Professional		$97.72	$162.18	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $524.81	Facility		$281.84	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $501.19	Professional		$120.23	$309.03	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $3,162.28	Facility		$81.28	$138.04	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $1,513.56	Facility		$81.28	$158.49	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $1,023.29	Professional		$112.20	$229.09	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $346.74	Professional		$138.04	$234.42	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $2,951.21	Facility		$120.23	$223.87	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $501.19 / $1,047.13	Professional		$144.54	$501.19	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $346.74	Professional		$269.15	$269.15	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $691.83	Professional		$338.84	$524.81	$691.83
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 $91.20 / $158.49 / $380.19	Professional		$91.20	$158.49	$380.19