Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $269.15 / $3,090.30	Facility		$28.18	$269.15	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $575.44	Professional		$162.18	$257.04	$575.44
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 $234.42 / $363.08 / $851.14	Professional		$234.42	$363.08	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Facility		$741.31	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $676.08 / $1,318.26	Professional		$275.42	$676.08	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $3,162.28	Facility		$177.83	$338.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $794.33	Professional		$323.59	$524.81	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $1,513.56	Facility		$181.97	$363.08	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $2,089.30	Professional		$263.03	$562.34	$2,089.30
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 $331.13 / $588.84 / $1,023.29	Professional		$331.13	$588.84	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $1,819.70	Facility		$295.12	$549.54	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,288.25 / $2,041.74	Professional		$316.23	$1,288.25	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $870.96	Professional		$562.34	$562.34	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,122.02 / $1,778.28	Professional		$346.74	$1,122.02	$1,778.28
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 / $354.81 / $933.25	Professional		$194.98	$354.81	$933.25