Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $1,905.46	Facility		$181.97	$346.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $501.19	Professional		$158.49	$234.42	$501.19
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 $208.93 / $380.19 / $1,023.29	Professional		$208.93	$380.19	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $912.01	Professional		$181.97	$389.05	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $2,238.72	Facility		$158.49	$239.88	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $691.83	Professional		$302.00	$446.68	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $3,235.94	Facility		$162.18	$245.47	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $1,737.80	Professional		$234.42	$537.03	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $776.25	Professional		$263.03	$467.74	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,951.21 / $2,951.21	Facility		$562.34	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $1,698.24	Professional		$177.83	$501.19	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,202.26	Professional		$512.86	$831.76	$1,202.26
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 $169.82 / $269.15 / $724.44	Professional		$169.82	$269.15	$724.44