Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $3,090.30	Facility		$218.78	$416.87	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $602.56	Professional		$190.55	$275.42	$602.56
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 / $549.54 / $1,479.11	Professional		$302.00	$549.54	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,445.44	Facility		$758.58	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,202.26	Professional		$316.23	$741.31	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $4,168.69	Facility		$208.93	$478.63	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $851.14	Professional		$436.52	$602.56	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $575.44 / $1,778.28	Facility		$208.93	$575.44	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $2,137.96	Professional		$309.03	$602.56	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,023.29	Professional		$323.59	$602.56	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,995.26 / $1,995.26	Facility		$691.83	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $758.58 / $2,089.30	Professional		$229.09	$758.58	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,071.52	Professional		$724.44	$724.44	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,445.44	Professional		$630.96	$1,122.02	$1,445.44
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 / $446.68 / $1,258.93	Professional		$239.88	$446.68	$1,258.93