Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $389.05 / $1,348.96	Facility		$181.97	$389.05	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $660.69	Professional		$177.83	$323.59	$660.69
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 $269.15 / $416.87 / $891.25	Professional		$269.15	$416.87	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Facility		$954.99	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $776.25 / $1,548.82	Professional		$309.03	$776.25	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $3,162.28	Facility		$199.53	$398.11	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,000.00	Professional		$346.74	$645.65	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $1,513.56	Facility		$208.93	$407.38	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $2,630.27	Professional		$288.40	$630.96	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,513.56	Professional		$407.38	$741.31	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $1,288.25	Facility		$295.12	$549.54	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,584.89 / $2,630.27	Professional		$346.74	$1,584.89	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,096.48	Professional		$602.56	$602.56	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,290.87	Professional		$724.44	$1,202.26	$2,290.87
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 $194.98 / $389.05 / $1,148.15	Professional		$194.98	$389.05	$1,148.15