Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $3,090.30	Facility		$144.54	$263.03	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $389.05	Professional		$117.49	$199.53	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $912.01	Professional		$194.98	$354.81	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $776.25	Professional		$194.98	$380.19	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $4,168.69	Facility		$120.23	$338.84	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $630.96	Professional		$257.04	$380.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $426.58 / $6,165.95	Facility		$120.23	$426.58	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $1,621.81	Professional		$218.78	$389.05	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $741.31	Professional		$204.17	$371.54	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $9,120.11	Facility		$6,165.95	$9,120.11	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $467.74 / $1,548.82	Professional		$165.96	$467.74	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $524.81	Professional		$288.40	$288.40	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $724.44 / $1,318.26	Professional		$251.19	$724.44	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $794.33	Professional		$138.04	$295.12	$794.33