Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $398.11 / $1,905.46	Facility		$128.82	$398.11	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $426.58	Professional		$112.20	$154.88	$426.58
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 $125.89 / $257.04 / $645.65	Professional		$125.89	$257.04	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $537.03 / $616.60	Professional		$169.82	$537.03	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $269.15 / $3,715.35	Facility		$134.90	$269.15	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $389.05	Professional		$234.42	$316.23	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $1,778.28	Facility		$134.90	$275.42	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $977.24	Professional		$128.82	$204.17	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $446.68	Professional		$194.98	$295.12	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $851.14	Facility		$263.03	$501.19	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $616.60 / $954.99	Professional		$234.42	$616.60	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $851.14	Professional		$346.74	$724.44	$851.14
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 $125.89 / $186.21 / $524.81	Professional		$125.89	$186.21	$524.81