Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $1,905.46	Facility		$223.87	$478.63	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $676.08	Professional		$199.53	$245.47	$676.08
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 $223.87 / $436.52 / $1,096.48	Professional		$223.87	$436.52	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $724.44 / $1,258.93	Professional		$275.42	$724.44	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $3,162.28	Facility		$223.87	$338.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $724.44	Professional		$426.58	$575.44	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $346.74 / $1,513.56	Facility		$223.87	$346.74	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $1,819.70	Professional		$229.09	$446.68	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $912.01	Professional		$407.38	$616.60	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $602.56 / $2,187.76	Facility		$263.03	$602.56	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,778.28	Professional		$398.11	$1,096.48	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,479.11 / $1,548.82	Professional		$446.68	$1,479.11	$1,548.82
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 $213.80 / $331.13 / $912.01	Professional		$213.80	$331.13	$912.01