Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $1,905.46	Facility		$75.86	$245.47	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $389.05	Professional		$75.86	$117.49	$389.05
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 / $158.49 / $380.19	Professional		$97.72	$158.49	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $302.00 / $537.03	Professional		$123.03	$302.00	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $3,162.28	Facility		$79.43	$154.88	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $323.59	Professional		$144.54	$218.78	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $1,659.59	Facility		$81.28	$162.18	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $870.96	Professional		$109.65	$190.55	$870.96
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 $141.25 / $239.88 / $407.38	Professional		$141.25	$239.88	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $489.78	Facility		$165.96	$309.03	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $851.14	Professional		$134.90	$346.74	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $758.58	Professional		$269.15	$501.19	$758.58
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 $87.10 / $144.54 / $371.54	Professional		$87.10	$144.54	$371.54