Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $14,454.40	Facility		$173.78	$323.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $331.13	Professional		$151.36	$181.97	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $776.25	Professional		$158.49	$302.00	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $660.69	Professional		$173.78	$371.54	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $3,548.13	Facility		$151.36	$213.80	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $549.54	Professional		$275.42	$346.74	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $1,445.44	Facility		$158.49	$218.78	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $1,995.26	Professional		$169.82	$288.40	$1,995.26
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 $194.98 / $354.81 / $549.54	Professional		$194.98	$354.81	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,288.25 / $1,288.25	Facility		$407.38	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $794.33 / $1,995.26	Professional		$173.78	$794.33	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $794.33	Professional		$501.19	$630.96	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $616.60	Professional		$158.49	$229.09	$616.60