Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $398.11 / $691.83	Facility		$147.91	$398.11	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $380.19	Professional		$69.18	$162.18	$380.19
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 $91.20 / $165.96 / $389.05	Professional		$91.20	$165.96	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $977.24	Facility		$524.81	$616.60	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $812.83	Professional		$91.20	$295.12	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $2,818.38	Facility		$70.79	$190.55	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $524.81	Professional		$141.25	$245.47	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $199.53 / $1,445.44	Facility		$72.44	$199.53	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $575.44 / $2,511.89	Professional		$190.55	$575.44	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $616.60	Professional		$120.23	$275.42	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,288.25 / $1,288.25	Facility		$281.84	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $891.25 / $2,630.27	Professional		$128.82	$891.25	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $1,258.93	Professional		$245.47	$501.19	$1,258.93
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 $87.10 / $229.09 / $676.08	Professional		$87.10	$229.09	$676.08