Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $14,454.40	Facility		$186.21	$309.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $309.03	Professional		$138.04	$186.21	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $891.25	Professional		$151.36	$281.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $707.95	Facility		$380.19	$446.68	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $537.03	Professional		$257.04	$467.74	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $7,762.47 / $14,454.40	Facility		$173.78	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $457.09	Professional		$316.23	$398.11	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,388.44 / $9,549.93	Facility		$173.78	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $870.96	Professional		$190.55	$316.23	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $489.78	Professional		$218.78	$354.81	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $977.24	Facility		$389.05	$389.05	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,122.02	Professional		$257.04	$616.60	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,122.02	Professional		$831.76	$1,047.13	$1,122.02
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 $186.21 / $316.23 / $707.95	Professional		$186.21	$316.23	$707.95