Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $1,905.46	Facility		$177.83	$380.19	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $457.09	Professional		$165.96	$194.98	$457.09
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 $190.55 / $346.74 / $870.96	Professional		$190.55	$346.74	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Facility		$537.03	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $645.65 / $954.99	Professional		$245.47	$645.65	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $3,162.28	Facility		$177.83	$281.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $1,584.89	Facility		$177.83	$316.23	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,513.56	Professional		$199.53	$398.11	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $691.83	Professional		$309.03	$467.74	$691.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $1,288.25	Facility		$251.19	$478.63	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $954.99 / $1,479.11	Professional		$331.13	$954.99	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,174.90 / $1,318.26	Professional		$549.54	$1,174.90	$1,318.26
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 $190.55 / $281.84 / $758.58	Professional		$190.55	$281.84	$758.58