Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $3,090.30	Facility		$158.49	$338.84	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $501.19	Professional		$131.83	$251.19	$501.19
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 $213.80 / $446.68 / $1,071.52	Professional		$213.80	$446.68	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,380.38	Facility		$741.31	$851.14	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $977.24	Professional		$213.80	$467.74	$977.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $524.81 / $4,168.69	Facility		$181.97	$524.81	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $794.33	Professional		$281.84	$436.52	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $549.54 / $1,778.28	Facility		$181.97	$549.54	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $2,344.23	Professional		$269.15	$478.63	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $954.99	Professional		$229.09	$436.52	$954.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $1,995.26	Facility		$794.33	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $588.84 / $2,344.23	Professional		$181.97	$588.84	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $676.08	Professional		$323.59	$323.59	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,659.59	Professional		$562.34	$794.33	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $1,000.00	Professional		$154.88	$346.74	$1,000.00