Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $14,454.40	Facility		$186.21	$302.00	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $380.19	Professional		$141.25	$186.21	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,165.95 / $7,585.78	Facility		$4,168.69	$6,165.95	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $831.76	Professional		$147.91	$281.84	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $588.84	Professional		$245.47	$457.09	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $7,244.36 / $13,489.63	Facility		$169.82	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $446.68	Professional		$309.03	$389.05	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,202.26 / $2,041.74	Facility		$169.82	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $1,380.38	Professional		$190.55	$331.13	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $524.81	Professional		$234.42	$371.54	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,187.76 / $2,187.76	Facility		$380.19	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $741.31 / $2,630.27	Professional		$251.19	$741.31	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,023.29	Professional		$707.95	$1,023.29	$1,023.29
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 $181.97 / $309.03 / $676.08	Professional		$181.97	$309.03	$676.08