Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $14,454.40	Facility		$234.42	$380.19	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $467.74	Professional		$173.78	$218.78	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,882.50 / $21,877.62	Facility		$7,585.78	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $977.24	Professional		$194.98	$380.19	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $660.69	Professional		$281.84	$588.84	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,162.28 / $5,888.44	Facility		$218.78	$3,162.28	$5,888.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $575.44	Professional		$331.13	$457.09	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $7,244.36 / $13,803.84	Facility		$204.17	$7,244.36	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $1,047.13	Professional		$204.17	$389.05	$1,047.13
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 $218.78 / $426.58 / $741.31	Professional		$218.78	$426.58	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $18,197.01	Facility		$12,022.64	$12,022.64	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $954.99 / $1,380.38	Professional		$257.04	$954.99	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,122.02 / $1,174.90	Professional		$549.54	$1,122.02	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $851.14	Professional		$194.98	$323.59	$851.14