Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $1,905.46	Facility		$245.47	$489.78	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $851.14	Professional		$234.42	$354.81	$851.14
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 $257.04 / $489.78 / $1,202.26	Professional		$257.04	$489.78	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,380.38	Facility		$741.31	$851.14	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $812.83 / $1,288.25	Professional		$302.00	$812.83	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $3,162.28	Facility		$245.47	$371.54	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $812.83	Professional		$478.63	$645.65	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $1,513.56	Facility		$245.47	$398.11	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $2,041.74	Professional		$257.04	$512.86	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,000.00	Professional		$467.74	$707.95	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $1,584.89	Facility		$263.03	$676.08	$1,584.89
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $467.74 / $467.74 / $1,096.48	Facility	54	$467.74	$467.74	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,258.93 / $1,995.26	Professional		$446.68	$1,258.93	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,621.81 / $1,778.28	Professional		$346.74	$1,621.81	$1,778.28
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 $239.88 / $380.19 / $1,023.29	Professional		$239.88	$380.19	$1,023.29