Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $1,905.46	Facility		$173.78	$478.63	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $380.19 / $691.83	Professional		$154.88	$380.19	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $537.03 / $1,621.81	Professional		$213.80	$537.03	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,137.96	Facility		$1,148.15	$1,318.26	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $588.84 / $1,584.89	Professional		$194.98	$588.84	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $407.38 / $2,398.83	Facility		$158.49	$407.38	$2,398.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,148.15	Professional		$288.40	$575.44	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $3,235.94	Facility		$165.96	$416.87	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $912.01 / $3,090.30	Professional		$389.05	$912.01	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,548.82	Professional		$257.04	$616.60	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $4,897.79	Facility		$3,311.31	$4,897.79	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $933.25 / $2,951.21	Professional		$194.98	$933.25	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,621.81	Professional		$575.44	$575.44	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,137.96	Professional		$575.44	$870.96	$2,137.96
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 $173.78 / $416.87 / $1,023.29	Professional		$173.78	$416.87	$1,023.29