Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $251.19 / $446.68	Facility		$75.86	$251.19	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $562.34	Professional		$69.18	$144.54	$562.34
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 $112.20 / $223.87 / $588.84	Professional		$112.20	$223.87	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $616.60	Facility		$331.13	$380.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $457.09	Professional		$95.50	$199.53	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $3,311.31	Facility		$75.86	$194.98	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $363.08	Professional		$125.89	$213.80	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $1,659.59	Facility		$75.86	$194.98	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $758.58	Professional		$125.89	$223.87	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $398.11	Professional		$109.65	$204.17	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,951.21 / $2,951.21	Facility		$288.40	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $891.25	Professional		$87.10	$165.96	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $630.96	Professional		$288.40	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $457.09	Professional		$81.28	$158.49	$457.09