Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $3,090.30	Facility		$123.03	$229.09	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $354.81	Professional		$107.15	$181.97	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $741.31	Professional		$141.25	$281.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $954.99	Facility		$512.86	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $758.58	Professional		$131.83	$295.12	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $2,754.23	Facility		$107.15	$177.83	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $524.81	Professional		$204.17	$331.13	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $3,235.94	Facility		$109.65	$186.21	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,412.54	Professional		$173.78	$407.38	$1,412.54
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 $181.97 / $338.84 / $616.60	Professional		$181.97	$338.84	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,398.83 / $2,398.83	Facility		$489.78	$2,398.83	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $1,348.96	Professional		$128.82	$398.11	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $954.99	Professional		$338.84	$588.84	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $524.81	Professional		$114.82	$194.98	$524.81