Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $14,454.40	Facility		$165.96	$309.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $295.12	Professional		$141.25	$162.18	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,182.57	Facility		$3,981.07	$7,762.47	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $741.31	Professional		$151.36	$288.40	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $724.44	Facility		$389.05	$446.68	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $630.96	Professional		$162.18	$338.84	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $3,162.28	Facility		$144.54	$194.98	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $512.86	Professional		$263.03	$323.59	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $5,128.61	Facility		$144.54	$208.93	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $1,122.02	Professional		$158.49	$257.04	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $489.78	Professional		$173.78	$316.23	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $6,456.54	Facility		$4,365.16	$4,365.16	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $524.81 / $1,096.48	Professional		$158.49	$524.81	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $794.33	Professional		$467.74	$660.69	$794.33
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 $147.91 / $223.87 / $575.44	Professional		$147.91	$223.87	$575.44