Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $1,905.46	Facility		$57.54	$109.65	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $204.17	Professional		$51.29	$95.50	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $407.38	Professional		$70.79	$144.54	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Facility		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $354.81	Professional		$64.57	$158.49	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $2,238.72	Facility		$52.48	$95.50	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $263.03	Professional		$97.72	$165.96	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $2,691.53	Facility		$53.70	$100.00	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $724.44	Professional		$107.15	$239.88	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $309.03	Professional		$85.11	$165.96	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,951.21 / $2,951.21	Facility		$245.47	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $758.58	Professional		$60.26	$204.17	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $489.78	Professional		$162.18	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $288.40	Professional		$57.54	$112.20	$288.40