Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $83.18 / $83.18	Facility		$38.02	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $100.00	Professional		$36.31	$39.81	$100.00
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 $41.69 / $77.62 / $190.55	Professional		$41.69	$77.62	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $194.98	Facility		$104.71	$120.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $144.54	Professional		$64.57	$125.89	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $2,570.40 / $4,786.30	Facility		$44.67	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $125.89	Professional		$72.44	$100.00	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $1,202.26 / $1,778.28	Facility		$44.67	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $234.42	Professional		$42.66	$74.13	$234.42
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 $44.67 / $87.10 / $151.36	Professional		$44.67	$87.10	$151.36
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 $74.13 / $204.17 / $1,023.29	Professional		$74.13	$204.17	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $295.12	Professional		$169.82	$218.78	$295.12
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 $39.81 / $64.57 / $169.82	Professional		$39.81	$64.57	$169.82