Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $1,905.46	Facility		$104.71	$169.82	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $234.42	Professional		$87.10	$131.83	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $660.69	Professional		$131.83	$251.19	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $478.63	Professional		$154.88	$295.12	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $6,165.95 / $13,489.63	Facility		$104.71	$6,165.95	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $398.11	Professional		$194.98	$251.19	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,122.02 / $2,041.74	Facility		$95.50	$1,122.02	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $758.58	Professional		$177.83	$323.59	$758.58
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 $173.78 / $275.42 / $467.74	Professional		$173.78	$275.42	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $537.03	Facility		$213.80	$213.80	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $977.24	Professional		$154.88	$302.00	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $933.25	Professional		$575.44	$691.83	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $616.60	Professional		$117.49	$263.03	$616.60