Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $1,905.46	Facility		$93.33	$162.18	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $234.42	Professional		$83.18	$117.49	$234.42
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 $107.15 / $190.55 / $512.86	Professional		$107.15	$190.55	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $338.84 / $537.03	Facility		$288.40	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $467.74	Professional		$93.33	$181.97	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $2,238.72	Facility		$74.13	$112.20	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $295.12	Professional		$141.25	$199.53	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $1,202.26	Facility		$72.44	$114.82	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $812.83	Professional		$114.82	$275.42	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $354.81	Professional		$112.20	$208.93	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,288.25 / $1,288.25	Facility		$213.80	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $275.42 / $741.31	Professional		$89.13	$275.42	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $549.54	Professional		$309.03	$426.58	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $371.54	Professional		$85.11	$138.04	$371.54