Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $354.81 / $3,090.30	Facility		$177.83	$354.81	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $524.81	Professional		$154.88	$288.40	$524.81
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 / $446.68 / $1,202.26	Professional		$213.80	$446.68	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $501.19 / $1,202.26	Professional		$194.98	$501.19	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $2,754.23	Facility		$158.49	$295.12	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $870.96	Professional		$302.00	$524.81	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $3,235.94	Facility		$158.49	$295.12	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $2,290.87	Professional		$275.42	$660.69	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,202.26	Professional		$309.03	$602.56	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $707.95 / $2,290.87	Professional		$194.98	$707.95	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,202.26	Professional		$602.56	$602.56	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,584.89	Professional		$524.81	$891.25	$1,584.89
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 $162.18 / $309.03 / $812.83	Professional		$162.18	$309.03	$812.83