Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $14,454.40	Facility		$213.80	$407.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $371.54	Professional		$173.78	$208.93	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $933.25	Professional		$186.21	$371.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $602.56 / $977.24	Facility		$524.81	$602.56	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $831.76	Professional		$199.53	$416.87	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $4,365.16	Facility		$181.97	$251.19	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $616.60	Professional		$346.74	$426.58	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $7,943.28	Facility		$186.21	$263.03	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $1,479.11	Professional		$186.21	$331.13	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $660.69	Professional		$234.42	$426.58	$660.69
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 $199.53 / $912.01 / $1,445.44	Professional		$199.53	$912.01	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,000.00	Professional		$512.86	$724.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $707.95	Professional		$177.83	$263.03	$707.95