Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $331.13 / $1,905.46	Facility		$158.49	$331.13	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $524.81	Professional		$151.36	$234.42	$524.81
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 $218.78 / $338.84 / $794.33	Professional		$218.78	$338.84	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $616.60 / $1,202.26	Professional		$263.03	$616.60	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $3,162.28	Facility		$162.18	$316.23	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $691.83	Professional		$295.12	$457.09	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $3,630.78	Facility		$162.18	$331.13	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,905.46	Professional		$251.19	$501.19	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $870.96	Professional		$295.12	$512.86	$870.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,047.13 / $1,995.26	Facility		$338.84	$1,047.13	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,230.27 / $1,819.70	Professional		$288.40	$1,230.27	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,621.81	Professional		$537.03	$1,047.13	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $891.25	Professional		$177.83	$323.59	$891.25