Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $302.00	Facility		$109.65	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $371.54	Professional		$107.15	$144.54	$371.54
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 $138.04 / $213.80 / $562.34	Professional		$138.04	$213.80	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $691.83	Professional		$162.18	$416.87	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $3,162.28	Facility		$109.65	$181.97	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $407.38	Professional		$204.17	$295.12	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $1,513.56	Facility		$109.65	$204.17	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $1,096.48	Professional		$147.91	$302.00	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $478.63	Professional		$190.55	$323.59	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $1,288.25	Facility		$141.25	$288.40	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $691.83 / $1,071.52	Professional		$199.53	$691.83	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $478.63	Professional		$371.54	$371.54	$478.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $724.44 / $933.25	Professional		$63.10	$724.44	$933.25
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 $125.89 / $204.17 / $524.81	Professional		$125.89	$204.17	$524.81