Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $213.80 / $1,905.46	Facility		$48.98	$213.80	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $158.49 / $446.68	Professional		$46.77	$158.49	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $281.84	Professional		$74.13	$134.90	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $234.42 / $1,000.00	Professional		$81.28	$234.42	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $218.78 / $3,162.28	Facility		$50.12	$218.78	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $549.54	Professional		$91.20	$173.78	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $229.09 / $1,584.89	Facility		$50.12	$229.09	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $2,238.72	Professional		$181.97	$426.58	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $676.08	Professional		$85.11	$229.09	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,288.25 / $1,288.25	Facility		$128.82	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $977.24 / $2,344.23	Professional		$97.72	$977.24	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $1,348.96	Professional		$173.78	$323.59	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $194.98 / $645.65	Professional		$57.54	$194.98	$645.65