Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $1,905.46	Facility		$223.87	$426.58	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $691.83	Professional		$194.98	$275.42	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,380.38	Professional		$309.03	$512.86	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $758.58 / $1,148.15	Professional		$309.03	$758.58	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $3,715.35	Facility		$223.87	$467.74	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $812.83	Professional		$446.68	$588.84	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $562.34 / $5,623.41	Facility		$223.87	$562.34	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $562.34 / $1,995.26	Professional		$288.40	$562.34	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $977.24	Professional		$309.03	$616.60	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $3,715.35	Facility		$2,511.89	$3,715.35	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $776.25 / $1,995.26	Professional		$213.80	$776.25	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,000.00	Professional		$724.44	$724.44	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,380.38	Professional		$645.65	$1,122.02	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $1,148.15	Professional		$245.47	$426.58	$1,148.15