Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $346.74 / $1,122.02	Facility		$162.18	$346.74	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $562.34	Professional		$154.88	$269.15	$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 $204.17 / $371.54 / $812.83	Professional		$204.17	$371.54	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $676.08 / $1,380.38	Professional		$269.15	$676.08	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $3,162.28	Facility		$165.96	$331.13	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $831.76	Professional		$309.03	$537.03	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $1,513.56	Facility		$165.96	$346.74	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $2,187.76	Professional		$275.42	$537.03	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,096.48	Professional		$309.03	$562.34	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,288.25 / $1,288.25	Facility		$436.52	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,348.96 / $2,187.76	Professional		$295.12	$1,348.96	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $912.01	Professional		$524.81	$524.81	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,905.46	Professional		$630.96	$1,047.13	$1,905.46
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 $181.97 / $346.74 / $977.24	Professional		$181.97	$346.74	$977.24