Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $1,905.46	Facility		$138.04	$354.81	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $354.81	Professional		$112.20	$169.82	$354.81
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 $162.18 / $323.59 / $776.25	Professional		$162.18	$323.59	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $851.14	Facility		$457.09	$537.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $616.60	Professional		$190.55	$363.08	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $3,715.35	Facility		$154.88	$338.84	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $501.19	Professional		$245.47	$338.84	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $371.54 / $1,778.28	Facility		$154.88	$371.54	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $1,288.25	Professional		$177.83	$331.13	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $602.56	Professional		$190.55	$338.84	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $1,995.26	Facility		$1,047.13	$1,995.26	$1,995.26
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $831.76 / $831.76 / $1,230.27	Facility	52	$831.76	$831.76	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $371.54 / $1,230.27	Professional		$134.90	$371.54	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,047.13	Professional		$354.81	$691.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $645.65	Professional		$131.83	$245.47	$645.65