Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $331.13 / $1,047.13	Facility		$154.88	$331.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $562.34	Professional		$147.91	$257.04	$562.34
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 $229.09 / $346.74 / $758.58	Professional		$229.09	$346.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $645.65 / $1,318.26	Professional		$257.04	$645.65	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $3,162.28	Facility		$165.96	$323.59	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $776.25	Professional		$295.12	$501.19	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $1,513.56	Facility		$169.82	$338.84	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $2,089.30	Professional		$257.04	$512.86	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,047.13	Professional		$295.12	$537.03	$1,047.13
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 $281.84 / $1,288.25 / $2,089.30	Professional		$281.84	$1,288.25	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $870.96	Professional		$501.19	$501.19	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,819.70	Professional		$575.44	$1,000.00	$1,819.70
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 $173.78 / $323.59 / $912.01	Professional		$173.78	$323.59	$912.01