Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $1,905.46	Facility		$138.04	$257.04	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $371.54	Professional		$114.82	$199.53	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $7,413.10	Facility		$3,019.95	$4,786.30	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $831.76	Professional		$154.88	$309.03	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,096.48	Facility		$588.84	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $831.76	Professional		$138.04	$323.59	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $2,238.72	Facility		$112.20	$199.53	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $588.84	Professional		$229.09	$380.19	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $3,548.13	Facility		$107.15	$208.93	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $1,621.81	Professional		$204.17	$467.74	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $707.95	Professional		$204.17	$389.05	$707.95
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 $138.04 / $446.68 / $1,548.82	Professional		$138.04	$446.68	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,096.48	Professional		$389.05	$645.65	$1,096.48
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 $120.23 / $223.87 / $588.84	Professional		$120.23	$223.87	$588.84