Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $1,905.46	Facility		$190.55	$407.38	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $524.81	Professional		$181.97	$223.87	$524.81
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 $208.93 / $380.19 / $954.99	Professional		$208.93	$380.19	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $1,096.48	Facility		$588.84	$676.08	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $1,023.29	Professional		$263.03	$645.65	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $3,162.28	Facility		$194.98	$302.00	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $630.96	Professional		$354.81	$489.78	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $1,513.56	Facility		$199.53	$316.23	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $1,621.81	Professional		$218.78	$446.68	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $758.58	Professional		$346.74	$549.54	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $1,288.25	Facility		$512.86	$1,288.25	$1,288.25
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $851.14	Facility	54	$363.08	$363.08	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,023.29 / $1,659.59	Professional		$354.81	$1,023.29	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,258.93 / $1,412.54	Professional		$407.38	$1,258.93	$1,412.54
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 $199.53 / $309.03 / $812.83	Professional		$199.53	$309.03	$812.83