Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $14,454.40	Facility		$199.53	$323.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $398.11	Professional		$147.91	$199.53	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $891.25	Professional		$162.18	$309.03	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $630.96	Professional		$263.03	$501.19	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $7,244.36 / $13,489.63	Facility		$199.53	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $478.63	Professional		$338.84	$416.87	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $9,772.37 / $17,378.01	Facility		$181.97	$9,772.37	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $1,445.44	Professional		$204.17	$346.74	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $676.08	Professional		$263.03	$380.19	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $41,686.94 / $41,686.94	Facility		$28,840.32	$41,686.94	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $812.83 / $3,311.31	Professional		$275.42	$812.83	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,122.02	Professional		$741.31	$1,096.48	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $724.44	Professional		$190.55	$331.13	$724.44