Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $14,454.40	Facility		$158.49	$257.04	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $323.59	Professional		$117.49	$158.49	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $691.83	Professional		$125.89	$239.88	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $501.19	Professional		$213.80	$398.11	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $4,168.69 / $7,413.10	Facility		$144.54	$4,168.69	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $380.19	Professional		$269.15	$331.13	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $10,232.93 / $16,595.87	Facility		$144.54	$10,232.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $1,148.15	Professional		$162.18	$288.40	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $537.03	Professional		$223.87	$316.23	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,982.44 / $16,982.44	Facility		$11,481.54	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $2,089.30	Professional		$234.42	$645.65	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $870.96	Professional		$602.56	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $575.44	Professional		$151.36	$269.15	$575.44