Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,365.16	Facility		$79.43	$3,019.95	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $275.42	Professional		$72.44	$85.11	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $416.87	Professional		$83.18	$162.18	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Facility		$213.80	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $295.12	Professional		$154.88	$263.03	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,454.71 / $4,786.30	Facility		$91.20	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $257.04	Professional		$147.91	$204.17	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $3,235.94 / $6,165.95	Facility		$91.20	$3,235.94	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $1,862.09	Professional		$83.18	$147.91	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $288.40	Professional		$87.10	$169.82	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $5,011.87	Facility		$3,388.44	$5,011.87	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,862.09 / $1,862.09	Professional		$416.87	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $457.09 / $616.60	Professional		$169.82	$457.09	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $346.74	Professional		$75.86	$131.83	$346.74