Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $5,128.61	Facility		$41.69	$91.20	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $109.65	Professional		$38.90	$43.65	$109.65
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 $45.71 / $85.11 / $208.93	Professional		$45.71	$85.11	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $213.80	Facility		$114.82	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $158.49	Professional		$70.79	$141.25	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $2,570.40 / $4,786.30	Facility		$48.98	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $138.04	Professional		$79.43	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $1,202.26 / $1,778.28	Facility		$48.98	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $257.04	Professional		$46.77	$81.28	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $165.96	Professional		$48.98	$95.50	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Facility		$776.25	$776.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $630.96	Professional		$81.28	$223.87	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $323.59	Professional		$186.21	$245.47	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $186.21	Professional		$43.65	$70.79	$186.21