Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $602.56 / $3,801.89	Facility		$162.18	$602.56	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $724.44	Professional		$144.54	$316.23	$724.44
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 / $389.05 / $1,202.26	Professional		$162.18	$389.05	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Facility		$794.33	$912.01	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,071.52	Professional		$239.88	$457.09	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,698.24 / $3,801.89	Facility		$162.18	$1,698.24	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $870.96	Professional		$302.00	$446.68	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,096.48 / $2,041.74	Facility		$147.91	$1,096.48	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,949.84	Professional		$389.05	$758.58	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,023.29	Professional		$275.42	$549.54	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $7,585.78 / $7,585.78	Facility		$331.13	$7,585.78	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,096.48 / $2,511.89	Professional		$239.88	$1,096.48	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,041.74	Professional		$676.08	$1,023.29	$2,041.74
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 $190.55 / $489.78 / $1,288.25	Professional		$190.55	$489.78	$1,288.25