Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $1,122.02	Facility		$173.78	$371.54	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $588.84	Professional		$165.96	$275.42	$588.84
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 $251.19 / $389.05 / $870.96	Professional		$251.19	$389.05	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $933.25 / $1,513.56	Facility		$812.83	$933.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $724.44 / $1,318.26	Professional		$281.84	$724.44	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $3,162.28	Facility		$181.97	$363.08	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $851.14	Professional		$331.13	$549.54	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $1,513.56	Facility		$186.21	$371.54	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $2,238.72	Professional		$263.03	$549.54	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,122.02	Professional		$331.13	$588.84	$1,122.02
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 $316.23 / $1,380.38 / $2,238.72	Professional		$316.23	$1,380.38	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $933.25	Professional		$562.34	$562.34	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,949.84	Professional		$691.83	$1,122.02	$1,949.84
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 / $354.81 / $1,000.00	Professional		$190.55	$354.81	$1,000.00