Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $354.81 / $1,905.46	Facility		$158.49	$354.81	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $676.08	Professional		$144.54	$302.00	$676.08
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 $162.18 / $380.19 / $1,148.15	Professional		$162.18	$380.19	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $1,000.00	Professional		$234.42	$446.68	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,698.24 / $3,801.89	Facility		$158.49	$1,698.24	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $794.33	Professional		$295.12	$446.68	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $912.01 / $1,778.28	Facility		$144.54	$912.01	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $741.31 / $1,949.84	Professional		$363.08	$741.31	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $912.01	Professional		$269.15	$512.86	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $7,585.78 / $7,585.78	Facility		$323.59	$7,585.78	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,047.13 / $2,454.71	Professional		$234.42	$1,047.13	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,905.46	Professional		$660.69	$1,000.00	$1,905.46
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 $186.21 / $478.63 / $1,230.27	Professional		$186.21	$478.63	$1,230.27