Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $14,454.40	Facility		$114.82	$213.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $213.80	Professional		$97.72	$114.82	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $512.86	Professional		$104.71	$199.53	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $501.19	Facility		$269.15	$316.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $436.52	Professional		$112.20	$239.88	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $2,818.38	Facility		$102.33	$147.91	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $363.08	Professional		$181.97	$229.09	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $4,365.16	Facility		$104.71	$162.18	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $1,174.90	Professional		$112.20	$204.17	$1,174.90
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 $120.23 / $213.80 / $338.84	Professional		$120.23	$213.80	$338.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Facility		$1,949.84	$2,884.03	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $524.81 / $870.96	Professional		$112.20	$524.81	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $524.81	Professional		$331.13	$416.87	$524.81
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 $104.71 / $154.88 / $407.38	Professional		$104.71	$154.88	$407.38