Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $17,782.79	Facility		$51.29	$51.29	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $75.86	Professional		$51.29	$51.29	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $63.10	Professional		$41.69	$41.69	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $549.54	Professional		$251.19	$309.03	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,754.23 / $5,128.61	Facility		$95.50	$2,754.23	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $131.83	Professional		$112.20	$123.03	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,230.27 / $2,041.74	Facility		$181.97	$1,230.27	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Professional		$120.23	$120.23	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $204.17	Professional		$162.18	$194.98	$204.17