Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $213.80 / $1,905.46	Facility		$87.10	$213.80	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $323.59	Professional		$79.43	$177.83	$323.59
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 / $251.19 / $707.95	Professional		$107.15	$251.19	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $954.99	Facility		$512.86	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $707.95	Professional		$104.71	$295.12	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $2,630.27	Facility		$81.28	$186.21	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $524.81	Professional		$147.91	$269.15	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $3,630.78	Facility		$81.28	$194.98	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $1,412.54	Professional		$194.98	$371.54	$1,412.54
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 $123.03 / $257.04 / $645.65	Professional		$123.03	$257.04	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $741.31	Facility		$501.19	$501.19	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $1,380.38	Professional		$93.33	$309.03	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $954.99	Professional		$295.12	$602.56	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $512.86	Professional		$89.13	$204.17	$512.86