Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $691.83 / $758.58	Facility		$72.44	$691.83	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $107.15 / $245.47	Professional		$38.02	$107.15	$245.47
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 $57.54 / $154.88 / $467.74	Professional		$57.54	$154.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $602.56	Facility		$323.59	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $436.52	Professional		$48.98	$128.82	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $138.04 / $3,162.28	Facility		$41.69	$138.04	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $346.74	Professional		$67.61	$120.23	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $147.91 / $1,513.56	Facility		$41.69	$147.91	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $870.96	Professional		$123.03	$346.74	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $380.19	Professional		$58.88	$151.36	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $489.78	Facility		$331.13	$489.78	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $380.19 / $831.76	Professional		$64.57	$380.19	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $831.76	Professional		$186.21	$338.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $141.25 / $416.87	Professional		$46.77	$141.25	$416.87