Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $707.95	Facility		$213.80	$398.11	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $275.42 / $724.44	Professional		$102.33	$275.42	$724.44
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 $151.36 / $251.19 / $537.03	Professional		$151.36	$251.19	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,778.28	Facility		$933.25	$1,096.48	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $1,258.93	Professional		$165.96	$363.08	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $549.54 / $3,715.35	Facility		$125.89	$549.54	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $1,023.29	Professional		$218.78	$338.84	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $512.86 / $1,778.28	Facility		$125.89	$512.86	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $2,570.40	Professional		$309.03	$524.81	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,288.25	Professional		$194.98	$436.52	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,995.26 / $1,995.26	Facility		$269.15	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $691.83 / $2,454.71	Professional		$141.25	$691.83	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $2,089.30	Professional		$389.05	$616.60	$2,089.30
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 $117.49 / $363.08 / $1,202.26	Professional		$117.49	$363.08	$1,202.26