Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $57.54 / $91.20	Facility		$26.92	$57.54	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $91.20	Professional		$25.70	$40.74	$91.20
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 $38.90 / $58.88 / $138.04	Professional		$38.90	$58.88	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $218.78	Facility		$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $107.15 / $204.17	Professional		$45.71	$107.15	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $3,162.28	Facility		$27.54	$52.48	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $123.03	Professional		$51.29	$79.43	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $1,513.56	Facility		$28.84	$57.54	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $331.13	Professional		$48.98	$91.20	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $144.54	Professional		$50.12	$85.11	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $89.13 / $1,288.25	Facility		$46.77	$89.13	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $208.93 / $323.59	Professional		$50.12	$208.93	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $138.04	Professional		$91.20	$91.20	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $181.97 / $281.84	Professional		$47.86	$181.97	$281.84
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 $34.67 / $60.26 / $154.88	Professional		$34.67	$60.26	$154.88