Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $14,454.40	Facility		$95.50	$162.18	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $194.98	Professional		$69.18	$89.13	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $407.38	Professional		$77.62	$151.36	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $371.54	Facility		$199.53	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $281.84	Professional		$117.49	$245.47	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,238.72 / $4,786.30	Facility		$91.20	$2,238.72	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $239.88	Professional		$138.04	$194.98	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,454.71 / $7,943.28	Facility		$91.20	$2,454.71	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $616.60	Professional		$81.28	$165.96	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $302.00	Professional		$91.20	$177.83	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $1,288.25	Facility		$199.53	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $478.63 / $616.60	Professional		$107.15	$478.63	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $467.74	Professional		$177.83	$426.58	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $338.84	Professional		$77.62	$134.90	$338.84