Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $1,905.46	Facility		$158.49	$263.03	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $575.44	Professional		$128.82	$323.59	$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 $190.55 / $323.59 / $645.65	Professional		$190.55	$323.59	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $1,348.96	Professional		$213.80	$457.09	$1,348.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $549.54 / $3,715.35	Facility		$141.25	$549.54	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $1,096.48	Professional		$275.42	$446.68	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $588.84 / $1,778.28	Facility		$141.25	$588.84	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $2,754.23	Professional		$338.84	$602.56	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $524.81 / $1,348.96	Professional		$234.42	$524.81	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,995.26 / $1,995.26	Facility		$478.63	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $724.44 / $2,691.53	Professional		$173.78	$724.44	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $2,290.87	Professional		$575.44	$776.25	$2,290.87
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 $151.36 / $407.38 / $1,258.93	Professional		$151.36	$407.38	$1,258.93