Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $346.74 / $1,905.46	Facility		$162.18	$346.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $602.56	Professional		$154.88	$288.40	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $870.96	Professional		$245.47	$380.19	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,659.59	Facility		$831.76	$977.24	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $691.83 / $1,445.44	Professional		$281.84	$691.83	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $3,162.28	Facility		$154.88	$338.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $831.76	Professional		$316.23	$549.54	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $346.74 / $5,128.61	Facility		$154.88	$346.74	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $2,290.87	Professional		$275.42	$575.44	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,122.02	Professional		$323.59	$588.84	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,479.11 / $2,238.72	Professional		$309.03	$1,479.11	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,023.29	Professional		$537.03	$537.03	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,995.26	Professional		$660.69	$1,071.52	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $1,047.13	Professional		$173.78	$346.74	$1,047.13