Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $1,905.46	Facility		$239.88	$446.68	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $602.56	Professional		$208.93	$323.59	$602.56
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 $275.42 / $537.03 / $1,412.54	Professional		$275.42	$537.03	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,698.24	Facility		$891.25	$1,047.13	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $1,412.54	Professional		$251.19	$549.54	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $2,238.72	Facility		$218.78	$346.74	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $912.01	Professional		$398.11	$602.56	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $5,623.41	Facility		$223.87	$363.08	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $741.31 / $2,454.71	Professional		$323.59	$741.31	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,096.48	Professional		$363.08	$645.65	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $707.95 / $2,398.83	Professional		$245.47	$707.95	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,698.24	Professional		$794.33	$1,122.02	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $1,000.00	Professional		$223.87	$371.54	$1,000.00