Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $14,454.40	Facility		$181.97	$380.19	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $457.09	Professional		$169.82	$190.55	$457.09
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 $190.55 / $363.08 / $954.99	Professional		$190.55	$363.08	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $660.69	Professional		$295.12	$588.84	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $7,244.36 / $14,454.40	Facility		$186.21	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $562.34	Professional		$331.13	$457.09	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $8,511.38 / $15,848.93	Facility		$186.21	$8,511.38	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $933.25	Professional		$208.93	$346.74	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $676.08	Professional		$204.17	$398.11	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $14,125.38	Facility		$9,772.37	$9,772.37	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $954.99 / $45,708.82	Professional		$338.84	$954.99	$45,708.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,412.54	Professional		$794.33	$1,023.29	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $794.33	Professional		$190.55	$302.00	$794.33