Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $14,454.40	Facility		$87.10	$141.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $263.03	Professional		$64.57	$87.10	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $8,709.64	Facility		$3,019.95	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $380.19	Professional		$69.18	$131.83	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $331.13	Facility		$173.78	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $275.42	Professional		$109.65	$213.80	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,570.40 / $4,786.30	Facility		$79.43	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $208.93	Professional		$144.54	$177.83	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,818.38 / $9,549.93	Facility		$74.13	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $630.96	Professional		$81.28	$144.54	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $295.12	Professional		$102.33	$151.36	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,288.25 / $1,288.25	Facility		$173.78	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $338.84 / $645.65	Professional		$128.82	$338.84	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $478.63	Professional		$281.84	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $309.03	Professional		$81.28	$134.90	$309.03