Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.09 / $2,951.21	Facility		$100.00	$229.09	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $776.25	Professional		$107.15	$229.09	$776.25
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 $141.25 / $302.00 / $851.14	Professional		$141.25	$302.00	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,096.48	Facility		$588.84	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $812.83	Professional		$134.90	$323.59	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $2,238.72	Facility		$107.15	$208.93	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $588.84	Professional		$204.17	$354.81	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $3,235.94	Facility		$109.65	$213.80	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $1,621.81	Professional		$204.17	$478.63	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $691.83	Professional		$186.21	$354.81	$691.83
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 $128.82 / $446.68 / $1,513.56	Professional		$128.82	$446.68	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $812.83	Professional		$398.11	$398.11	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,096.48	Professional		$346.74	$602.56	$1,096.48
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 $112.20 / $218.78 / $562.34	Professional		$112.20	$218.78	$562.34