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 $123.03 / $194.98 / $371.54	Professional		$123.03	$194.98	$371.54
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 $158.49 / $309.03 / $812.83	Professional		$158.49	$309.03	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $851.14	Professional		$147.91	$323.59	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $2,238.72	Facility		$125.89	$199.53	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $562.34	Professional		$229.09	$363.08	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $1,202.26	Facility		$128.82	$208.93	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $1,548.82	Professional		$190.55	$457.09	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $707.95	Professional		$208.93	$389.05	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $1,513.56	Facility		$323.59	$1,513.56	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $1,479.11	Professional		$144.54	$446.68	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,047.13	Professional		$398.11	$645.65	$1,047.13
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 $128.82 / $218.78 / $588.84	Professional		$128.82	$218.78	$588.84