Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $3,090.30	Facility		$218.78	$426.58	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $562.34	Professional		$190.55	$281.84	$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 $302.00 / $562.34 / $1,445.44	Professional		$302.00	$562.34	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Facility		$794.33	$912.01	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $1,258.93	Professional		$331.13	$741.31	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $489.78 / $4,168.69	Facility		$208.93	$489.78	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $891.25	Professional		$436.52	$602.56	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $1,778.28	Facility		$204.17	$588.84	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $2,187.76	Professional		$309.03	$588.84	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,071.52	Professional		$338.84	$630.96	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $1,995.26	Facility		$1,047.13	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $758.58 / $2,137.96	Professional		$234.42	$758.58	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,479.11	Professional		$645.65	$1,122.02	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,230.27	Professional		$239.88	$426.58	$1,230.27