Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $269.15 / $1,905.46	Facility		$125.89	$269.15	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $371.54	Professional		$117.49	$162.18	$371.54
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 $141.25 / $245.47 / $616.60	Professional		$141.25	$245.47	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $741.31	Facility		$398.11	$457.09	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $436.52 / $691.83	Professional		$165.96	$436.52	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $3,162.28	Facility		$125.89	$190.55	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $407.38	Professional		$234.42	$323.59	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $1,513.56	Facility		$125.89	$204.17	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $1,096.48	Professional		$141.25	$281.84	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $524.81	Professional		$239.88	$371.54	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $3,890.45	Facility		$208.93	$389.05	$3,890.45
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $549.54	Facility	54	$275.42	$275.42	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $691.83 / $1,071.52	Professional		$234.42	$691.83	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $831.76 / $933.25	Professional		$190.55	$831.76	$933.25
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 $128.82 / $204.17 / $549.54	Professional		$128.82	$204.17	$549.54