Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $870.96 / $5,370.32	Facility		$173.78	$870.96	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $1,819.70	Professional		$144.54	$457.09	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $707.95 / $1,995.26	Professional		$239.88	$707.95	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,187.76	Facility		$1,148.15	$1,348.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $1,548.82	Professional		$251.19	$489.78	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $6,165.95 / $13,489.63	Facility		$173.78	$6,165.95	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,258.93	Professional		$331.13	$478.63	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,122.02 / $1,778.28	Facility		$162.18	$1,122.02	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,230.27 / $3,162.28	Professional		$660.69	$1,230.27	$3,162.28
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 $295.12 / $630.96 / $1,479.11	Professional		$295.12	$630.96	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $4,466.84	Facility		$354.81	$354.81	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $933.25 / $3,019.95	Professional		$239.88	$933.25	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,570.40 / $3,467.37	Professional		$954.99	$2,570.40	$3,467.37
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 $199.53 / $630.96 / $2,187.76	Professional		$199.53	$630.96	$2,187.76